Individual
DR. SARA JANE PACKARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4070 SHELBURNE RD, SHELBURNE, VT 05482
(802) 985-0145
(802) 985-0148
Mailing address
PO BOX 910, SHELBURNE, VT 05482
(802) 985-0145
(802) 985-0148
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0420008450
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0VN0799
—
VT
01
—
11V205
MVP
VT
01
—
19068
BCBS VT
VT
Enumeration date
12/04/2006
Last updated
07/08/2007
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