Individual
CAROL F. BOERNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
130 PLEASANT ST, CLAREMONT, NH 03743-3628
(603) 542-2002
Mailing address
441 RIVER STREET, PO BOX 830, SPRINGFIELD, VT 05156
(802) 886-3937
(802) 886-3167
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
11262
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NX0745
PALMETTO GBA
NH
Enumeration date
06/09/2006
Last updated
02/27/2008
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