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Mad River Internal Medicine
Specialist in Waitsfield, Vermont
NPI 1730148966

Mad River Internal Medicine is a Specialist based in Waitsfield, VT. Mad River Internal Medicine practices in Waitsfield, VT. The NPI Number for Mad River Internal Medicine is 1730148966 and holds a License No. (Vermont).

The current practice location address for Mad River Internal Medicine is 5360 Main St, Waitsfield, VT and can be reached out via phone at 802-496-2202 and via fax at 802-496-2223.

Location: 5360 Main St, Waitsfield, VT, 05673-6003
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1730148966
Provider Name
Mad River Internal Medicine
Credential
Provider Entity Type
Organization
Address
5360 Main St, Waitsfield, VT, 05673-6003
Phone Number
802-496-2202
Fax Number
802-496-2223
Provider Enumeration Date
03/17/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1012198 05 VT
institution
Provider Business Practice Location Address Details
Address
5360 Main St
City
Waitsfield
State
Vermont
Zip
05673-6003
Phone Number
802-496-2202
Fax Number
802-496-2223
person
Provider Business Mailing Address Details
Address
5360 Main St
City
Waitsfield
State
Vermont
Zip
05673-6003
Phone Number
802-496-2202
Fax Number
802-496-2223
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
()
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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