Individual
ALLEGRA L SHUMWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
79 COVENTRY ST, NEWPORT, VT 05855-2206
(802) 334-5822
Mailing address
1748 BAYLEY-HAZEN RD, EAST HARDWICK, VT 05836-9876
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
042-0008297
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4000021
—
VT
Enumeration date
09/25/2006
Last updated
02/21/2011
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