Border Pediatrics
Pediatric Adolescent Medicine
Border Pediatrics is a Derby Line, Vermont based Pediatric center with medical specialization in
Pediatric Adolescent Medicine. Border Pediatrics is also known as
Border Health Center.
It is located at
159 Main St, Derby Line, Vermont - 05830-8754. They can be contacted on phone at
802-873-3009 and fax number 802-873-3176.
NPI number (Unique professional ID) for Border Pediatrics is
1750483780 which was assigned by NPPES on 01 Sep, 2006 and it was last updated on 04 Jan, 2013.
Border Pediatrics license number is
042-0008370 for Pediatrics Adolescent Medicine (2080A0000X) in Vermont.
Border Pediatrics specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
Complete Profile:
Border Pediatrics basic information including their official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Adolescent Medicine |
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| Provider Name : | Border Pediatrics |
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| Other Name : | Border Health Center |
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Business Address:
Border Pediatrics address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 159 Main St
Derby Line, VT, 05830-8754
United States |
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| Phone Number : | 802-873-3009 |
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| Fax Number : | 802-873-3176 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1750483780 |
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| NPI Entity Type : | Organization |
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| First Enrolment Date : | 01 Sep, 2006 |
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| Last Updated On : | 04 Jan, 2013 |
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Authorized Official Details:
Officially authorized person to contact for any management issues or complaints of this organization are as below. Person's position and contact details are as mentioned below.
| Authorized Official Name : | Miriamblodgett Tatum |
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| Authorized Official Credential : | M.D. |
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| Official Title or Position : | PRESIDENT |
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| Phone Number : | 802-873-3009 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Border Pediatrics are as mentioned. Primary taxonomy code for Border Pediatrics is
2080A0000X (Pediatrics Adolescent Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 207R00000X | Internal Medicine | No | 042-0008363 | VT |
| 2080A0000X | Pediatrics Adolescent Medicine | Yes | 042-0008370 | VT |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 159 Main St
Derby Line, VT, 05830-8754
United States |
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| Phone Number : | 802-873-3009 |
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| Fax Number : | 802-873-3176 |
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Business Location:
Patients can refer following map for directions to
Border Pediatrics practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.