Individual
MARY E MALONEY
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
207N00000X
Dermatology Physician
Primary
042.0006820
VT
207N00000X
Dermatology Physician
159392
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110061096A
—
MA
05
—
3193110
—
MA
Enumeration date
11/15/2005
Last updated
02/09/2023
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