Telos, LLC
Family Medicine in Townshend, VT. Organization (NPI-2).
NPI number1639510787
StatusActive
Last updated in NPPESJul 17, 2013
Details
- NPI
- 1639510787
- Entity type
- Organization (NPI-2)
- Legal business name
- Telos, LLC
- Organization subpart
- No
- Enumeration date
- Jul 17, 2013
- Last updated
- Jul 17, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 0420012320 | VT | Yes |
Practice location
152 Grafton RoadTownshend, VT 05353
Phone 802-365-4318
Mailing address
Po Box 308Townshend, VT 05353-0308
Phone 802-365-4318
Authorized official
Edward Thomas Mulhern
Mbr
8023654285
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