Individual
MATTHEW J PEAKE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
18 OLD TERRACE, BELLOWS FALLS, VT 05101
(802) 463-9551
Mailing address
18 OLD TERRACE, BELLOWS FALLS, VT 05101
(802) 463-9551
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0420006794
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0005540
—
VT
Enumeration date
02/14/2006
Last updated
07/08/2007
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