Individual
DR. MATTHEW JOHN STANISHEWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
825 CHALKSTONE AVE, DEPT. OF MEDICINE, PROVIDENCE, RI 02908-4728
(401) 456-2000
Mailing address
140 HOSPITAL DR STE 306, BENNINGTON, VT 05201-5018
(802) 440-4293
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
DO00758
RI
207R00000X
Internal Medicine Physician
OT013569
PA
207RR0500X
Rheumatology Physician
Primary
032.0110465
VT
Other
Enumeration date
06/13/2010
Last updated
08/12/2024
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