Individual
JENNIFER SISEMOORE BOROFSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
111 COLCHESTER AVE, SMITH 244, MAILSTOP 156SM2, BURLINGTON, VT 05401-1473
(802) 847-2700
Mailing address
111 COLCHESTER AVE, ATT: FAHC, BURLINGTON, VT 05401-1473
(802) 847-2345
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
042.0012645
VT
208M00000X
Hospitalist Physician
Primary
0420012645
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1021899
—
VT
Enumeration date
03/23/2010
Last updated
12/04/2014
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