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Individual

DR. JENNIFER PLANTE GILWEE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1 TIMBER LN, SOUTH BURLINGTON, VT 05403-7205
(802) 847-4714
Mailing address
1 TIMBER LN, SOUTH BURLINGTON, VT 05403-7205
(802) 847-4714

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
42-0010023
VT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
42-0010023
STATE LICENSE
VT
05
EO2082373
NY
05
ONV2359
VT
Enumeration date
07/18/2006
Last updated
10/04/2013
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