Matthews, Benjamin Dan

Matthews, Benjamin Dan is an individual health care provider with primary practice located at 300 Longwood Ave , Boston MA 02115-5724. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine. Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine is his primary health care specialty. Matthews, Benjamin Dan can be contacted via phone (617) 355-6000.

Contact Information

Primary practice address
300 Longwood Ave Boston MA 02115-5724
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 160273 Massachusetts
Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine 2080P0203X 160273 Massachusetts

Profile Details

NPI number 1851382436
LBN Legal business name Matthews, Benjamin Dan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 2nd, 2005
Last updated Dec 22nd, 2008 - about 16 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 1851382436 NPPES
Massachusetts Other 160273 TUFTS HEALTH PLAN
Massachusetts Other J21813 TUFTS HEALTH PLAN
Massachusetts MEDICAID 3203999 TUFTS HEALTH PLAN

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