Individual
DR. PETER PANAGIOTIS METRAKOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, FRCSC, FACS
Contact information
Practice address
1 S PROSPECT ST, UHC CAMPUS, RENAL/TRANSPLANT - 4TH FL, BURLINGTON, VT 05401-3456
(802) 847-4548
(802) 847-3619
Mailing address
MUHS - RVH SITE, S10.26, 687 AVENUE DES PINS O, MONTREAL, QUEBEC H3A 1-A1
(514) 843-1600
Taxonomy
Speciality
Code
Description
License number
State
204F00000X
Transplant Surgery Physician
Primary
0420010480
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02425390
—
NY
05
—
1009964
—
VT
Enumeration date
08/05/2006
Last updated
07/08/2007
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