Healthcare Provider Details
I. General information
NPI: 1366593808
Provider Name (Legal Business Name): CINDY DION NOYES MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 01/12/2007
Last Update Date: 09/01/2011
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
111 COLCHESTER AVE
BURLINGTON VT
05401-1473
US
IV. Provider business mailing address
407 MARVIN RD
BERLIN VT
05602-4424
US
V. Phone/Fax
- Phone: 802-847-2264
- Fax:
- Phone: 802-223-7931
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207RI0200X |
| Taxonomy | Infectious Disease Physician |
| License Number | 0420012256 |
| License Number State | VT |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: