Individual
DR. MELANIE MARY CANON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
38 ROUTE 11, LONDONDERRY, VT 05148-9555
(802) 824-6901
Mailing address
38 ROUTE 11, LONDONDERRY, VT 05148-9555
(802) 824-6901
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
212585
NY
Other
Enumeration date
02/06/2007
Last updated
05/21/2014
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