Individual
DR. JANICE M GALLANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
111 COLCHESTER AVE, DEPT. OF RADIOLOGY, BURLINGTON, VT 05401-1473
(802) 847-3592
(802) 847-4822
Mailing address
36 IRIS LN, SOUTH BURLINGTON, VT 05403-7514
(802) 847-3592
(802) 847-4822
Taxonomy
Speciality
Code
Description
License number
State
2085P0229X
Pediatric Radiology Physician
Primary
042-0008695
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
OVN1405
—
VT
Enumeration date
07/21/2006
Last updated
07/08/2007
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