Individual
DR. MARY FLIMLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
55 TABOR PL, SOUTH BURLINGTON, VT 05403-5602
(802) 524-8950
(802) 524-7021
Mailing address
133 FAIRFIELD ST, SAINT ALBANS, VT 05478-1726
(802) 524-5911
(802) 524-1095
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
042-0010876
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1013110
—
VT
01
—
2373504
CIGNA PROVIDER NUMBER
VT
01
—
4145707
MVP PROVIDER NUMBER
VT
01
—
68977
BLUE CROSS PROVIDER NUMBE
VT
Enumeration date
09/16/2006
Last updated
07/08/2007
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