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140 Hospital Dr Suite 103 Bennington VT 05201-5009 | |
(802) 447-1536 | |
Not Available |
Full Name | |
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Speciality | Internal Medicine - Gastroenterology |
Location | 140 Hospital Dr, Bennington, Vermont |
Authorized Official Name and Position | Mark Novotny (CEO) |
Authorized Official Contact | 8024475014 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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100 Hospital Dr Bennington VT 05201-5004 Ph: () - | 140 Hospital Dr Suite 103 Bennington VT 05201-5009 Ph: (802) 447-1536 |
NPI Number | 1699919787 |
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Provider Enumeration Date | 04/21/2009 |
Last Update Date | 04/21/2009 |
Identifier | Type | State | Issuer |
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1699919787 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207RG0100X | Internal Medicine - Gastroenterology | 0420006620 (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 | |