Provider First Line Business Practice Location Address:
130 FISHER RD., STE. #3-1
Provider Second Line Business Practice Location Address:
FAHC-BERLIN FAMILY PRACTICE
Provider Business Practice Location Address City Name:
BERLIN
Provider Business Practice Location Address State Name:
VT
Provider Business Practice Location Address Postal Code:
05602
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
802-225-7000
Provider Business Practice Location Address Fax Number:
802-225-7103
Provider Enumeration Date:
06/29/2011