Affiliates in Obstetrical & Gynecological Care Inc
Organization Active NPI Clinic/Center · Burlington, VT
NPI 1104884824 · NPPES record last updated Feb 4, 2013
Key facts
- NPI
- 1104884824
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinic/Center 261Q00000X
- Legal business name
- AFFILIATES IN OBSTETRICAL & GYNECOLOGICAL CARE INC
- Practice address
- 96 Colchester Ave
Burlington, VT 05401-1417 - Phone
- (802) 658-0505
- NPI assigned
- May 2, 2006
- Organization subpart
- No
Authorized official
- Name
- Dr. Patrick Clifford, M.D.
- Title
- President
- Phone
- (802) 658-0505
Practitioners 4
-
Brooke Hopkins Ryba, MSN, RN, WHNP-BC
-
Amy Thibault, M.D.
-
Julia Brock, M.D.
National Provider Directory
Locations
96 Colchester Ave
Burlington, VT 05401
Phone (802) 658-0505
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | Yes |
Addresses
Primary practice location
96 Colchester Ave
Burlington, VT 05401-1417
Mailing address
96 Colchester Ave
Burlington, VT 05401-1417
Phone (802) 658-0505
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0004930 | Medicaid | VT | |
| CM9478 | Other | VT | RAIL ROAD MEDICARE |
Other providers in Burlington, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 4, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.