Individual
DR. BONITA SANDRA LIBMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
111 COLCHESTER AVE, EAST PAVILION LEVEL 5 RHEUMATOLOGY, BURLINGTON, VT 05401-1473
(802) 847-4574
(802) 847-9695
Mailing address
111 COLCHESTER AVE, BURLINGTON, VT 05401-1473
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
0420008785
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
OVN0689
—
VT
Enumeration date
08/20/2006
Last updated
10/04/2013
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