Porter Hospital Dba Cedar Ledge Family Practice
Family Medicine in Middlebury, VT. Organization (NPI-2).
NPI number1144240474
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1144240474
- Entity type
- Organization (NPI-2)
- Legal business name
- Porter Hospital Dba Cedar Ledge Family Practice
- Organization subpart
- No
- Enumeration date
- Jul 20, 2006
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | – | – | Yes |
Practice location
99 Court StCedar Lodge Family Practice
Middlebury, VT 05753-1408
Phone 802-388-7185 · Fax 802-388-3445
Mailing address
104 Porter DrMiddlebury, VT 05753-8527
Phone 802-388-8808 · Fax 802-388-8322
Authorized official
Duncan S Brines
Cfo
8023884701
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