Individual
MARY ELLEN HARRISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
111 COLCHESTER AVE, MAILSTOP 416SA1, BURLINGTON, VT 05401-1473
(802) 847-2700
Mailing address
111 COLCHESTER AVE, MAILSTOP 416SA1, BURLINGTON, VT 05401-1473
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
032-0133864
VT
390200000X
Student in an Organized Health Care Education/Training Program
—
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Other
Enumeration date
04/06/2016
Last updated
08/14/2019
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