| Mt Ascutney Physicians Ladies First | |
|
289 County Rd Windsor VT 05089-9000 | |
| (802) 674-7300 | |
| (802) 674-7314 |
| Full Name | Mt Ascutney Physicians Ladies First |
|---|---|
| Speciality | Internal Medicine |
| Location | 289 County Rd, Windsor, Vermont |
| Authorized Official Name and Position | Bonnie S Martaniuk (PROV INS ENROLL COORD) |
| Authorized Official Contact | 8026747170 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mt Ascutney Physicians Ladies First 289 County Rd Windsor VT 05089-9000 Ph: (802) 674-7300 | Mt Ascutney Physicians Ladies First 289 County Rd Windsor VT 05089-9000 Ph: (802) 674-7300 |
| NPI Number | 1811036783 |
|---|---|
| Provider Enumeration Date | 02/06/2007 |
| Last Update Date | 01/14/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811036783 | NPI | - | NPPES |
| 8000819 | Medicaid | VT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 703 (Vermont) | Secondary |
| 207R00000X | Internal Medicine | 703 (Vermont) | Primary |
| 207V00000X | Obstetrics & Gynecology | 703 (Vermont) | Secondary |
Mt Ascutney Hospital Ladies First Program Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 289 County Rd, Windsor, VT 05089 Phone: 802-674-7300 |
Associates in Surgery and Gastroenterology LLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 289 County Rd, Windsor, VT 05089 Phone: 603-543-3501 Fax: 603-542-6486 |