Individual
MATTHEW A CONWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
241 STRATTON ROAD, RUTLAND, VT 05701-4621
(802) 775-1903
(802) 775-5503
Mailing address
241 STRATTON ROAD, RUTLAND, VT 05701-4621
(802) 775-1903
(802) 775-5503
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
0420009840
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00039889
VT BS
—
01
—
020042452
MRR
—
01
—
030235856012
CIGNA
—
01
—
189383
HS
—
01
—
28407
CIGNA
—
01
—
319889
MVP
—
01
—
619320
TRGON
—
01
—
8000469
LF LADIES FIRST
VT
05
—
OVN1990
—
VT
Enumeration date
05/15/2006
Last updated
02/14/2011
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