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Individual

DR. MATTHEW NICHOLS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
270 MAIN ST, PORTLAND, CT 06480-1859
(860) 342-3392
(860) 358-8658
Mailing address
28 CRESCENT ST, MIDDLETOWN, CT 06457-3654
(860) 358-4820
(860) 358-8661

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
051299
CT

Other

Enumeration date
07/20/2010
Last updated
04/11/2017
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