| Irish Springs Internal Medicine Llc | |
|
22 Old Main Street Jeffersonville VT 05464-0157 | |
| (802) 644-1432 | |
| (802) 644-1454 |
| Full Name | Irish Springs Internal Medicine Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 22 Old Main Street, Jeffersonville, Vermont |
| Authorized Official Name and Position | John M Dunn (AUTHORIZED REP/OWNER) |
| Authorized Official Contact | 8026441432 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Irish Springs Internal Medicine Llc 22 Old Main Street Po Box 157 Jeffersonville VT 05464-0157 Ph: (802) 644-1432 | Irish Springs Internal Medicine Llc 22 Old Main Street Jeffersonville VT 05464-0157 Ph: (802) 644-1432 |
| NPI Number | 1366995193 |
|---|---|
| Provider Enumeration Date | 07/28/2016 |
| Last Update Date | 10/13/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366995193 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (Vermont) | Primary |