Provider Demographics
NPI:1639301153
Name:ELIZABETH H. FOLEY, M. D., PC
Entity Type:Organization
Organization Name:ELIZABETH H. FOLEY, M. D., PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:H
Authorized Official - Last Name:FOLEY
Authorized Official - Suffix:
Authorized Official - Credentials:M D
Authorized Official - Phone:802-779-0130
Mailing Address - Street 1:69 ALLEN ST
Mailing Address - Street 2:SUITE #14
Mailing Address - City:RUTLAND
Mailing Address - State:VT
Mailing Address - Zip Code:05701-4564
Mailing Address - Country:US
Mailing Address - Phone:802-779-0130
Mailing Address - Fax:802-779-0133
Practice Address - Street 1:69 ALLEN ST
Practice Address - Street 2:SUITE #14
Practice Address - City:RUTLAND
Practice Address - State:VT
Practice Address - Zip Code:05701-4564
Practice Address - Country:US
Practice Address - Phone:802-779-0130
Practice Address - Fax:802-779-0133
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-17
Last Update Date:2009-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT042-0010073207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatologyGroup - Single Specialty