Individual
SEAN T MALONEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
883 BLAKELY RD, COLCHESTER, VT 05446-4417
(802) 847-2055
(802) 847-1688
Mailing address
883 BLAKELY RD, COLCHESTER, VT 05446-4417
(802) 847-2055
(802) 847-1688
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
014336
ME
207Q00000X
Family Medicine Physician
Primary
042.0013956
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
305940099
—
ME
Enumeration date
06/01/2006
Last updated
02/05/2018
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