DR. JACK LAWRENCE MAYER M.D. FAAP NPI 1639136559

NPI Information

DR. Jack Lawrence Mayer, M.D., FAAP is an adolescent medicine pediatrics in Middlebury, VT. The provider is a pediatrician who 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. DR. Jack Lawrence Mayer, M.D., FAAP NPI is 1639136559. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

44 COLLINS DR
SUITE 202
MIDDLEBURY, VT
ZIP 05753-528
Phone: (802) 388-1338
Fax: (802) 388-8244

The enumeration date for this NPI number is 4/26/2006 and was last updated on 7/9/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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