Anderson, Matthew Peter
Anderson, Matthew Peter is an individual health care provider with primary practice located at 330 Brookline Ave Dept. Of Neurology, Boston MA 02215-5400. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neuropathology, which is considered as his primary health care specialty. Anderson, Matthew Peter can be contacted via phone (617) 667-3090.Contact Information
Primary practice address
330 Brookline Ave Dept. Of Neurology
Boston MA 02215-5400
Phone: (617) 667-3090
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neuropathology | 207ZN0500X | 153393 | Massachusetts |
Profile Details
| NPI number | 1467440735 |
|---|---|
| LBN Legal business name | Anderson, Matthew Peter |
| Credentials | M.D., PH.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 11th, 2005 |
| Last updated | Jul 8th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1467440735 | NPPES |
| Massachusetts | Other | 153393 | STATE LICENSE |
| Massachusetts | MEDICAID | 3173623 | STATE LICENSE |
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