IndividualActive
Richard Callahan, MSPA, PA-C
NPI 1891785671 · Medical Physician Assistant · Burlington, VT
Provider details
- NPI number
- 1891785671
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- MSPA, PA-C
- Sex
- Male
- Sole proprietor
- No
- License
- 055-0030786 (VT)
Practice location
111 Colchester Ave
Dermatology - Acc/Wp-5
Burlington, VT 05401-1473
Phone: (802) 847-4570
Fax: (802) 847-3364
Mailing address
111 Colchester Ave
Burlington, VT 05401-1473
Registry dates
- Enumerated
- 2005-10-24
- Last updated
- 2013-11-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.