| |
194 North St Bennington VT 05201-1874 | |
(802) 442-0236 | |
(802) 442-0239 |
Full Name | |
---|---|
Speciality | Internal Medicine |
Location | 194 North St, Bennington, Vermont |
Authorized Official Name and Position | Marisa Friscia (PHYSICIAN) |
Authorized Official Contact | 8024420236 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
194 North St Bennington VT 05201-1874 Ph: (802) 442-0236 | 194 North St Bennington VT 05201-1874 Ph: (802) 442-0236 |
NPI Number | 1912002676 |
---|---|
Provider Enumeration Date | 09/14/2006 |
Last Update Date | 11/06/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1912002676 | NPI | - | NPPES |
1009307 | Medicaid | VT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 042-0010507 (Vermont) | Primary |
Integrative Medical Associates Of Vermont, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 530 Main St, Bennington, VT 05201 Phone: 802-445-3152 | |