Individual
AMY THIBAULT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
185 TILLEY DR, SOUTH BURLINGTON, VT 05403-4484
(802) 862-7338
(802) 862-8411
Mailing address
185 TILLEY DR, SOUTH BURLINGTON, VT 05403-4484
(802) 862-7338
(802) 862-8411
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
0420010606
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1009872
—
VT
Enumeration date
05/26/2006
Last updated
10/17/2010
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