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Individual

HEATHER ELIZABETH LINK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1 S PROSPECT ST, UNIVERSITY PEDIATRICS; UHC CAMPUS REHAB BLDG, BURLINGTON, VT 05401-3456
(802) 847-4696
(802) 847-4612
Mailing address
1 S PROSPECT ST, UNIVERSITY PEDIATRICS; UHC CAMPUS REHAB BLDG, BURLINGTON, VT 05401-3456
(802) 847-4696
(802) 847-4612

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
042.0012570
VT
208D00000X
General Practice Physician
Primary
245633
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00028296801
UNIVERA
01
000529552001
BCBS
01
000529552002
BCBS
01
000529552003
BCBS
05
02910401
NY
01
071129000005
FIDELIS
01
071129000006
FIDELIS
01
1215008
IHA
Enumeration date
08/14/2007
Last updated
03/11/2013
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