Individual
MATTHEW L BURRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
144 HIGHLAND ST, PLYMOUTH, NH 03264-1240
(603) 536-4563
(603) 536-1056
Mailing address
144 HIGHLAND ST, PLYMOUTH, NH 03264-1240
(603) 536-4563
(603) 536-1056
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
287
NH
213E00000X
Podiatrist
POD 1026
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03Y003885ME01
ANTHEM
NH
01
—
03Z003885ME01
ANTHEM
ME
01
—
1301419
CIGNA
—
05
—
188430000
—
ME
05
—
30362275
—
NH
Enumeration date
05/04/2006
Last updated
12/05/2014
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