Organization
NOELLE C THABAULT MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NOELLE THABAULT M.D. (PHYSICAN/OWNER)
(802) 862-7555
Entity
Organization
Contact information
Practice address
368 DORSET ST, SUITE 2B, SOUTH BURLINGTON, VT 05403-6236
(802) 862-7555
(802) 862-9555
Mailing address
368 DORSET ST, SUITE 2B, SOUTH BURLINGTON, VT 05403-6236
(802) 862-7555
(802) 862-9555
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
042-0008587
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1014996
—
VT
Enumeration date
07/27/2007
Last updated
07/02/2008
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