RICHARD Q CALLAHAN, MSPA, PA-C, Medical BURLINGTON, VT

Contact Information

RICHARD Q CALLAHAN, MSPA, PA-C

111 COLCHESTER AVE
DERMATOLOGY - ACC/WP-5
BURLINGTON, VT 05401-1473

Phone: 802-847-4570
Fax: 802-847-3364
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Medical	363AM0700X	97	Physician Assistant
Surgical	363AS0400X	97	Physician Assistant

Indicates primary specialty

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NPI Profile & details for RICHARD Q CALLAHAN · (Male)

NPI Number	`1891785671`
Status	Active
Credentials	MSPA, PA-C
Entity	Individual
Enumeration date	10/24/2005
Last updated	11/12/2013 - About 13 years ago
Sole proprietor ¹	No
Identifiers	VT License # 055-0030786 VT Other 055-0030786 LICENSE
Hospital affiliation(s)	FLETCHER ALLEN HOSPITAL OF VERMONT - (Acute Care) 111 COLCHESTER AVE BURLINGTON, VT 05401

¹ A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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RICHARD Q CALLAHAN, MSPA, PA-C – NPI #1891785671Medical

Contact Information

Specialty

Medical

Surgical

NPI Profile & details for RICHARD Q CALLAHAN · (Male)

Reviews for RICHARD Q CALLAHAN

RICHARD Q CALLAHAN, MSPA, PA-C – NPI #1891785671
Medical