Individual
MARTHA MADHU CORNWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
357 SHIELDS DR, BENNINGTON, VT 05201-9810
(802) 447-1409
(802) 442-5199
Mailing address
357 SHIELDS DR, BENNINGTON, VT 05201-9810
(802) 447-1409
(802) 442-5199
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
055.0031326
VT
Other
Enumeration date
12/26/2016
Last updated
11/20/2020
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