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NPI Code Detail

MEDICARE: WINDHAM OB-GYN ASSOCIATES, P.C.

MEDICARE: WINDHAM OB-GYN ASSOCIATES, P.C.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1174400000XSpecialist0420006376VT

General Provider Information

NPI Number : 1467482356
Entity Type Code : Organization
Provider Name (Legal Business Name) : WINDHAM OB-GYN ASSOCIATES, P.C.
Provider Business Mailing Address
First Line : 387 CANAL ST
Second Line :
City : BRATTLEBORO
State : VT
Zip : 05301-6616
Country : US
Telephone Number : 802-257-5807
Fax Number : 802-257-9164
Provider Business Practice Location Address
First Line : 387 CANAL ST
Second Line :
City : BRATTLEBORO
State : VT
Zip : 05301-6616
Country : US
Telephone Number : 802-257-5807
Fax Number : 802-257-9164
Authorized Official
Title or Position : OFFICE MANAGER
Name : MRS. BEV ROBINSON
Credential :
Telephone Number : 802-257-5807
Provider Enumeration Date : 07/04/2006
Last Update Date : 03/23/2010

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