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Individual

JESSICA J MCNALLY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
111 COLCHESTER AVE., UVM MEDICAL CENTER, SURGERY/OPHTHALMOLOGY, BURLINGTON, VT 05401
(802) 847-8484
(802) 847-9462
Mailing address
111 COLCHESTER AVE., UVM MEDICAL CENTER, SURGERY/OPHTHALMOLOGY, BURLINGTON, VT 05401
(802) 847-8484
(802) 847-9462

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
017903
ME
207W00000X
Ophthalmology Physician
Primary
042.0013564
VT
207W00000X
Ophthalmology Physician
MT183632
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
433037499
ME
Enumeration date
08/07/2007
Last updated
11/02/2016
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