Individual
DONALD MATHEWS
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) 847-2415
Mailing address
725 COMMUNITY DR STE 201B, SOUTH BURLINGTON, VT 05403-6652
(802) 847-2236
(631) 264-1418
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
11974
VT
207L00000X
Anesthesiology Physician
162785
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1659309615
—
VT
Enumeration date
09/30/2006
Last updated
07/28/2023
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