Mathews, Bonnie L

Mathews, Bonnie L is an individual health care provider with primary practice located at 55 Lake Ave N Pediatric Emergency Medicine, Worcester MA 01655-0002. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine is her primary health care specialty. Mathews, Bonnie L can be contacted via phone (774) 442-2599.

Contact Information

Primary practice address
55 Lake Ave N Pediatric Emergency Medicine Worcester MA 01655-0002
Phone: (774) 442-2599
Fax: (774) 442-2510
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine 2080P0204X 223848 Massachusetts
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 223848 Massachusetts

Profile Details

NPI number 1619035086
LBN Legal business name Mathews, Bonnie L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 5th, 2006
Last updated Nov 16th, 2020 - about 4 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1619035086 NPPES
Massachusetts MEDICAID 2132524

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