Individual
DR. CLAIRE E BOLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
290 WESTGATE LANE, WEST NEWBURY, VT 05085
(802) 345-2679
Mailing address
290 WESTGATE LANE, WEST NEWBURY, VT 05085-9207
(802) 345-2679
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0420010361
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30200393
—
VT
05
—
ORE5372
—
NH
Enumeration date
05/08/2006
Last updated
09/12/2019
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