Individual
DR. ELIZABETH ANN BONNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
111 COLCHESTER AVE, BURLINGTON, VT 05401-1473
(802) 847-1600
Mailing address
20 W CANAL ST, 219, WINOOSKI, VT 05404-2131
(802) 655-0659
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
042-0010491
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02355535
NY MEDICAID
NY
05
—
1009236
—
VT
Enumeration date
07/28/2006
Last updated
07/08/2007
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