Carty, Matthew Jonathan
Carty, Matthew Jonathan is an individual health care provider with primary practice located at 1153 Centre Street Suite 21, Faulkner Hospital, Jamaica Plain MA 02130. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery. Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery is his primary health care specialty. Carty, Matthew Jonathan can be contacted via phone (617) 983-4555.Contact Information
Primary practice address
1153 Centre Street Suite 21, Faulkner Hospital
Jamaica Plain MA 02130
Phone: (617) 983-4555
Fax: (617) 983-4534
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 215047 | Massachusetts |
| Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery | 2086S0122X | 237064 | Massachusetts |
Profile Details
| NPI number | 1780755900 |
|---|---|
| LBN Legal business name | Carty, Matthew Jonathan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 10th, 2006 |
| Last updated | Jul 18th, 2012 - about 12 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 | 1780755900 | NPPES |
| Massachusetts | MEDICAID | 110083436A |
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