Vermont Center For Regenerative Medicine
Clinic/Center, Multi-Specialty in Williston, VT. Organization (NPI-2).
NPI number1356971972
StatusActive
Last updated in NPPESJan 23, 2020
Details
- NPI
- 1356971972
- Entity type
- Organization (NPI-2)
- Legal business name
- Vermont Center For Regenerative Medicine
- Organization subpart
- No
- Enumeration date
- Jan 23, 2020
- Certification date
- Jan 23, 2020
- Last updated
- Jan 23, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM1300X | Clinic/Center, Multi-Specialty | – | – | Yes |
Other names
- Lake Champlain Regen Medical (Doing Business As)
Practice location
71 Knight Ln Ste 20Williston, VT 05495-4514
Phone 802-734-9455 · Fax 678-574-5605
Mailing address
71 Knight Ln Ste 20Williston, VT 05495-4514
Phone 802-734-9455 · Fax 678-574-5605
Authorized official
Rebecca E Fields
Office Manager
8027349455
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