Individual
DR. ALLYSON M BOLDUC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1775 WILLISTON RD, SOUTH BURLINGTON, VT 05403-6491
(802) 847-8500
(802) 847-6140
Mailing address
1775 WILLISTON RD, SOUTH BURLINGTON, VT 05403-6491
(802) 847-8500
(802) 847-6140
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
420009468
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01812995
—
NY
05
—
OVN1199
—
VT
Enumeration date
07/14/2006
Last updated
01/23/2010
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