Individual
DR. MATTHEW GREGORY PROHASKA JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1315 HOSPITAL DR, NVRH ORTHOPAEDICS, ST JOHNSBURY, VT 05819-9210
(802) 748-8141
Mailing address
PO BOX 905, NVRH ORTHOPAEDICS, ST JOHNSBURY, VT 05819-0905
(802) 748-8141
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
042-0013063
VT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1024556
—
VT
05
—
3100897
—
NH
Enumeration date
05/08/2010
Last updated
07/06/2015
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