Provider Demographics
NPI:1083637946
Name:ASSOCIATES IN INTERNAL MEDICINE, INC.
Entity Type:Organization
Organization Name:ASSOCIATES IN INTERNAL MEDICINE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:HOWARD
Authorized Official - Middle Name:A
Authorized Official - Last Name:WEAVER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:802-775-5531
Mailing Address - Street 1:254 STRATTON RD
Mailing Address - Street 2:SUITE 2
Mailing Address - City:RUTLAND
Mailing Address - State:VT
Mailing Address - Zip Code:05701-4675
Mailing Address - Country:US
Mailing Address - Phone:802-775-5531
Mailing Address - Fax:802-773-4697
Practice Address - Street 1:254 STRATTON RD
Practice Address - Street 2:SUITE 2
Practice Address - City:RUTLAND
Practice Address - State:VT
Practice Address - Zip Code:05701-4675
Practice Address - Country:US
Practice Address - Phone:802-775-5531
Practice Address - Fax:802-773-4697
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-25
Last Update Date:2009-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT042-0004441207R00000X, 207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterologyGroup - Multi-Specialty
No207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VT4373OtherBCBS
VT0004373Medicaid
VT4373Medicare ID - Type Unspecified