| Organization Name: | BLUE COLLAR MEDICINE |
| NPI Number: | 1245554575 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CHRISTOPHER P. MALONE (CHIEF OPERATING OFFICER) |
| Mailing Address: | 36 Willey St Barre |
| State: | VT US |
| Postal Code: | 056412500 |
| Phone Number: | 8025221327 |
| Fax Number: | |
| NPI Enumeration Date: | 03/15/2010 |
| NPI Last Update Date: | 03/15/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |