Individual
HAVALEH MARIE GAGNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
111 COLCHESTER AVE, MC 301SH2, BURLINGTON, VT 05401-1473
(802) 847-3506
Mailing address
111 COLCHESTER AVE, MC 301SH2, BURLINGTON, VT 05401-1473
(802) 847-3506
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
0420011612
VT
Other
Enumeration date
06/07/2007
Last updated
06/09/2011
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