Organization Name: | VERMONT MEDICAL SLEEP DISORDERS CENTER, INC |
NPI Number: | 1497884209 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | RAMON DUANE PAQUETTE (OWNER PRESIDENT) |
Mailing Address: | 139 Pearl St Essex Junction |
State: | VT US |
Postal Code: | 054523659 |
Phone Number: | 8028784445 |
Fax Number: | 8028784607 |
NPI Enumeration Date: | 03/05/2007 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QS1200X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VT |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Sleep Disorder Diagnostic |
Taxonomy Definition: |