Individual
MATTHEW O'CONNOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
90 CENTER RD, ESSEX JUNCTION, VT 05452-2658
(802) 879-4155
(802) 878-7448
Mailing address
90 CENTER RD, ESSEX JUNCTION, VT 05452-2658
(802) 879-4155
(802) 878-7448
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
033.0003717
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
033.0003717
STATE LICENSE
VT
Enumeration date
05/19/2016
Last updated
05/19/2016
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