Individual
ELIZABETH H. JEWETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
44 S MAIN ST, RANDOLPH, VT 05060-1381
(802) 728-2420
(802) 728-2613
Mailing address
44 S MAIN ST, RANDOLPH, VT 05060-1381
(802) 728-2420
(802) 728-2613
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0420005815
VT
Other
Enumeration date
12/28/2007
Last updated
12/28/2007
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