Irish Springs Internal Medicine Llc | |
22 Old Main Street Jeffersonville VT 05464-0157 | |
(802) 644-1432 | |
(802) 644-1454 |
Full Name | Irish Springs Internal Medicine Llc |
---|---|
Speciality | Internal Medicine |
Location | 22 Old Main Street, Jeffersonville, Vermont |
Authorized Official Name and Position | John M Dunn (AUTHORIZED REP/OWNER) |
Authorized Official Contact | 8026441432 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Irish Springs Internal Medicine Llc 22 Old Main Street Po Box 157 Jeffersonville VT 05464-0157 Ph: (802) 644-1432 | Irish Springs Internal Medicine Llc 22 Old Main Street Jeffersonville VT 05464-0157 Ph: (802) 644-1432 |
NPI Number | 1366995193 |
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Provider Enumeration Date | 07/28/2016 |
Last Update Date | 10/13/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1366995193 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (Vermont) | Primary |
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