Individual provider · Type 1 NPI

Jack Lawrence Mayer, MD, FAAP

Pediatric Adolescent Medicine Physician · Middlebury, VT

NPI number 1639136559 Active

Practice location

44 Collins Dr, Suite 202
Middlebury, VT 05753-8528

Call (802) 388-1338 Map

Fax (802) 388-8244

Specialties and licenses

TaxonomyCodeLicense
Pediatric Adolescent Medicine Physician Primary 2080A0000X042-0004728 (VT)

Pediatric Adolescent Medicine Physician: 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.

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About NPI 1639136559

Jack Lawrence Mayer, MD, FAAP's National Provider Identifier is 1639136559, issued on Apr 26, 2006. The primary taxonomy on file is Pediatric Adolescent Medicine Physician (2080A0000X), and the practice location is in Middlebury, VT. The record was last updated on Jul 13, 2026.