Home Farm Family Medicine PLLC
Family Medicine in Brattleboro, VT. Organization (NPI-2).
NPI number1982249157
StatusActive
Last updated in NPPESApr 7, 2020
Details
- NPI
- 1982249157
- Entity type
- Organization (NPI-2)
- Legal business name
- Home Farm Family Medicine PLLC
- Organization subpart
- No
- Enumeration date
- Nov 12, 2019
- Certification date
- Apr 7, 2020
- Last updated
- Apr 7, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | – | – | Yes |
Practice location
62 Elliot StBrattleboro, VT 05301-3208
Phone 802-490-1904 · Fax 802-738-0087
Mailing address
62 Elliot StBrattleboro, VT 05301-3208
Phone 802-490-1904 · Fax 802-738-0087
Authorized official
Jeremy Morrison
Primary Provider / Physician
8024901904
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