Healthcare Provider Details

I. General information

NPI: 1972787273
Provider Name (Legal Business Name): CRISTINE JOY MALONEY MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/21/2007
Last Update Date: 09/18/2026
Certification Date: 09/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

44 S MAIN ST
RANDOLPH VT
05060-1381
US

IV. Provider business mailing address

44 S MAIN ST GIFFORD MEDICAL CENTER, PO BOX 2000
RANDOLPH VT
05060-1381
US

V. Phone/Fax

Practice location:
  • Phone: 802-728-7000
  • Fax: 802-728-2613
Mailing address:
  • Phone: 802-728-7000
  • Fax: 802-728-2613

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RH0002X
TaxonomyHospice and Palliative Medicine (Internal Medicine) Physician
License Number042-0012156
License Number StateVT
# 2
Primary TaxonomyN
Taxonomy Code207RH0002X
TaxonomyHospice and Palliative Medicine (Internal Medicine) Physician
License Number16596
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: