Individual
DR. MASATOSHI KIDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
111 COLCHESTER AVE, BURLINGTON, VT 05401-1473
(802) 847-9917
(802) 847-9644
Mailing address
1 FOREST RD, ESSEX JUNCTION, VT 05452-3803
(802) 878-1702
(802) 878-1702
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
042-0010000
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02068202
—
NY
05
—
0VN2221
—
VT
Enumeration date
07/05/2006
Last updated
07/08/2007
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