Provider Demographics
NPI:1285733675
Name:FOLEY, ELIZABETH H (MD)
Entity type:Individual
Prefix:DR
First Name:ELIZABETH
Middle Name:H
Last Name:FOLEY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:69 ALLEN ST
Mailing Address - Street 2:# 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:# 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
Is Sole Proprietor?:No
Enumeration Date:2006-09-21
Last Update Date:2014-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT042.0010073207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI248041OtherUHA
HI506412-01Medicaid
HI517226OtherHMN
HIMD11878OtherMDX
HI00A0235034OtherHMSA
VT1016951Medicaid
HIG94962Medicare UPIN
HI00A0235034OtherHMSA