Bivens, Matthew J.

Bivens, Matthew J. is an individual health care provider with primary practice located at 330 Brookline Ave , Boston MA 02215-5400. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medical Services, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Bivens, Matthew J. can be contacted via phone (617) 667-7000.

Contact Information

Primary practice address
330 Brookline Ave Boston MA 02215-5400
Phone: (617) 667-7000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X 250317 Massachusetts
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 250317 Massachusetts

Profile Details

NPI number 1487880084
LBN Legal business name Bivens, Matthew J.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2009
Last updated Sep 13th, 2023 - about last year

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1487880084 NPPES
Massachusetts MEDICAID 110093064A

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