Provider Demographics
NPI:1386863520
Name:MOONEY, SARAH (MBBCH)
Entity Type:Individual
Prefix:DR
First Name:SARAH
Middle Name:
Last Name:MOONEY
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Gender:F
Credentials:MBBCH
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Other - Last Name:
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Mailing Address - Street 1:111 COLCHESTER AVE
Mailing Address - Street 2:DEPT OF INFECTIOUS DISEASE, SMITH 2
Mailing Address - City:BURLINGTON
Mailing Address - State:VT
Mailing Address - Zip Code:05401-1473
Mailing Address - Country:US
Mailing Address - Phone:802-847-2700
Mailing Address - Fax:802-847-5322
Practice Address - Street 1:111 COLCHESTER AVE
Practice Address - Street 2:DEPT OF INFECTIOUS DISEASE, SMITH 2
Practice Address - City:BURLINGTON
Practice Address - State:VT
Practice Address - Zip Code:05401-1473
Practice Address - Country:US
Practice Address - Phone:802-847-2700
Practice Address - Fax:802-847-5322
Is Sole Proprietor?:No
Enumeration Date:2007-04-25
Last Update Date:2014-02-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VT0420012452207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease