Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | MD 60140495 | WA |
N | 2080P0216X | Pediatric Rheumatologist | 0101239486 | VA |
Y | 2080P0216X | Pediatric Rheumatologist | 042-0013780 | VT |
NPI | 1144316746 |
---|---|
Provider Name | Dr. Matthew Colby Hollander |
First Address | Burlington, VT 05401-1473 |
Second Address | Burlington, VT 05401-1473 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 04/10/2006 |
Last Update Date | 09/08/2017 |