Individual
DR. CHANTAL JOSEE BOISVERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD, MD
Contact information
Practice address
111 COLCHESTER AVE, BURLINGTON, VT 05401-1473
(802) 847-0400
Mailing address
2351 ERWIN RD, DURHAM, NC 27705-4699
(919) 681-9191
(199) 684-0547
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
042-0017057
VT
207W00000X
Ophthalmology Physician
A104628
CA
207WX0109X
Neuro-ophthalmology Physician
2019-01326
NC
207WX0109X
Neuro-ophthalmology Physician
A104628
CA
207WX0110X
Pediatric Ophthalmology and Strabismus Specialist Physician
A104628
CA
Other
Enumeration date
07/11/2008
Last updated
10/04/2023
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