NPI Provider: 1972935070
Contact Name: TRISTER JON
Position: OWNER
Phone: (508) 754-9950
Vernon Integrative Medical Group, Llc Information:
Vernon Integrative Medical Group, Llc organization have npi 1972935070, taxonomy code is 207R00000X with license number is 80587 in . This Business address located in 141 MASSASOIT RD, WORCESTER, MA 16043 Massachusetts.
Practice Location
Address: 141 MASSASOIT RD, WORCESTER, MA 16043
Phone: (508) 754-9950
Business Location
Address: 141 MASSASOIT RD, WORCESTER, MA 16043
Phone: (508) 754-9950
Fax: (508) 754-2592
Taxonomy
Taxonomy Code: 207R00000X
License Number: 80587
License Number of State: MA
Primary Taxonomy Switch: Y
Enumeration Date: 7/31/13
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