Individual
DR. PETER MATTHIAS BINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
110 COLCHESTER AVE, EAST PAVILON, LEVEL 4, BURLINGTON, VT 05401-1473
(802) 847-4589
Mailing address
110 COLCHESTER AVENUE, BURLINGTON, VT 05490
(802) 847-4589
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
0420010083
VT
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
0420010083
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
OVN2367
—
VT
Enumeration date
07/17/2006
Last updated
10/10/2013
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