IndividualActive
Matthew Maya
NPI 1679042196 · Diagnostic Radiology Physician · White River Junction, VT
Provider details
- NPI number
- 1679042196
- Entity type
- Individual
- Primary specialty
- Diagnostic Radiology PhysicianAllopathic & Osteopathic Physicians
- Sex
- Male
- Sole proprietor
- No
- License
- 447680 (VT)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
163 Veterans Dr
White River Junction, VT 05009-0001
Phone: (802) 295-9363
Approximate (ZIP-level) locationGet directions
Mailing address
1869 Pomfret Rd
Woodstock, VT 05091-8215
Registry dates
- Enumerated
- 2018-11-14
- Last updated
- 2018-11-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.