Provider Demographics
NPI:1386801090
Name:FRANCINE T TOUGAS
Entity type:Organization
Organization Name:FRANCINE T TOUGAS
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:FRANCINE
Authorized Official - Middle Name:THERESE
Authorized Official - Last Name:TOUGAS
Authorized Official - Suffix:
Authorized Official - Credentials:D C, C CS P
Authorized Official - Phone:802-893-1070
Mailing Address - Street 1:PO BOX 125
Mailing Address - Street 2:
Mailing Address - City:MILTON
Mailing Address - State:VT
Mailing Address - Zip Code:05468-0125
Mailing Address - Country:US
Mailing Address - Phone:802-893-1070
Mailing Address - Fax:802-893-0668
Practice Address - Street 1:165 ROUTE 7 SOUTH
Practice Address - Street 2:UNIT 101
Practice Address - City:MILTON
Practice Address - State:VT
Practice Address - Zip Code:05468-3605
Practice Address - Country:US
Practice Address - Phone:802-893-1070
Practice Address - Fax:802-893-0668
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-20
Last Update Date:2013-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service
Provider Identifiers
StateIdentifier IDID TypeIssuer
VT0102663OtherSTATE OF VT TRADENAME
VT0102663OtherSTATE OF VT TRADENAME