Provider First Line Business Practice Location Address:
ONE SOUTH PROSPECT STREET
Provider Second Line Business Practice Location Address:
UNIVERSITY PEDIATRICS
Provider Business Practice Location Address City Name:
BURLINGTON
Provider Business Practice Location Address State Name:
VT
Provider Business Practice Location Address Postal Code:
05401
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
802-847-4544
Provider Business Practice Location Address Fax Number:
802-847-4612
Provider Enumeration Date:
07/25/2006