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Individual
MATTHEW A CONWAY
Active
Individual
MATTHEW A CONWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
0420009840
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00039889
VT BS
—
01
—
020042452
MRR
—
01
—
030235856012
CIGNA
—
01
—
189383
HS
—
01
—
28407
CIGNA
—
01
—
319889
MVP
—
01
—
619320
TRGON
—
01
—
8000469
LF LADIES FIRST
VT
05
—
OVN1990
—
VT
Enumeration date
05/15/2006
Last updated
02/14/2011
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