Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0208X | Pediatric Infectious Diseases | MD21569 | DC |
NPI | 1659431906 |
---|---|
Provider Name | Jennifer S Read |
First Address | Burlington, VT 05401-3875 |
Second Address | Burlington, VT 05401-3875 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 09/12/2006 |
Last Update Date | 25/08/2021 |