Healthcare Provider Details

I. General information

NPI: 1013050723
Provider Name (Legal Business Name): FRANKLIN COUNTY PEDIATRICS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/14/2007
Last Update Date: 02/18/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10 CREST RD
SAINT ALBANS VT
05478-9701
US

IV. Provider business mailing address

10 CREST RD
SAINT ALBANS VT
05478-9701
US

V. Phone/Fax

Practice location:
  • Phone: 802-524-6410
  • Fax: 802-524-3342
Mailing address:
  • Phone: 802-524-6410
  • Fax: 802-524-3342

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State

VIII. Authorized Official

Name: LAURA ANN BELLSTROM
Title or Position: PHYSICIAN OWNER
Credential: M.D.
Phone: 802-524-6410