Individual
JONNA COXON GOULDING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
130 FISHER RD, BERLIN, VT 05602-9516
(802) 225-3994
(802) 371-5985
Mailing address
PO BOX 547, ATT: CVMC FINANCE DEPT, BARRE, VT 05641-0547
(802) 225-3994
(802) 371-5985
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
0420009355
VT
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
Primary
042.0009355
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
OVN1426
—
VT
Enumeration date
08/13/2006
Last updated
09/17/2013
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