OrganizationActive
Border Pediatrics
NPI 1750483780 · Pediatric Adolescent Medicine Physician · Derby Line, VT
Provider details
- NPI number
- 1750483780
- Entity type
- Organization
- Primary specialty
- Pediatric Adolescent Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Miriam Tatum, President(802) 873-3009
- License
- 042-0008363 (VT)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
159 Main St
Derby Line, VT 05830-8754
Phone: (802) 873-3009
Fax: (802) 873-3176
Approximate (ZIP-level) locationGet directions
Mailing address
159 Main St
Derby Line, VT 05830-8754
Other names (DBA / former)
- Former legal business name
- Border Health Center
Registry dates
- Enumerated
- 2006-09-01
- Last updated
- 2013-01-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.