Individual
DR. JENNIFER JEAN SOARES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
111 COLCHESTER AVE, BURLINGTON, VT 05401-1473
(802) 847-0000
Mailing address
111 COLCHESTER AVE, BURLINGTON, VT 05401-1473
(802) 847-0000
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
042.0017519
VT
207L00000X
Anesthesiology Physician
23572
NH
2080P0214X
Pediatric Pulmonology Physician
45962
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3140722
—
NH
Enumeration date
04/13/2007
Last updated
01/31/2024
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