Individual
RALPH MATTHEWS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
111 COLCHESTER AVE, BURLINGTON, VT 05401-1473
(802) 847-0392
Mailing address
124 SAINT PETER ST, WINOOSKI, VT 05404-1934
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
0600003205
VT
Other
Enumeration date
12/20/2006
Last updated
07/08/2007
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