Organization Name: | SOUTHWESTERN VERMONT MEDICAL CENTER, INC. |
NPI Number: | 1083931778 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MARK NOVOTNY (CHIEF MEDICAL OFFICER) |
Mailing Address: | 140 Hospital Dr Suite 204 Bennington |
State: | VT US |
Postal Code: | 052015009 |
Phone Number: | 8024470607 |
Fax Number: | |
NPI Enumeration Date: | 04/21/2010 |
NPI Last Update Date: | 04/21/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2086S0122X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Surgery |
Taxonomy Specialization: | Plastic and Reconstructive Surgery |
Taxonomy Definition: | A surgeon who specializes in plastic and reconstructive surgery. |