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1093028052
MATTHEW NICHOLS
PORTLAND, CT
NPI
1093028052
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: CT 051299)
Enumeration Date
2010-07-20
Last Update Date
2017-04-11
Business Address
Dr. MATTHEW NICHOLS
270 MAIN ST
PORTLAND, CT 06480-1859
Phone number: 860-342-3392
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Mailing Address
Dr. MATTHEW NICHOLS
28 CRESCENT ST
MIDDLETOWN, CT 06457-3654
Phone number: 860-358-4820
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