Matthews, John David

Matthews, John David is an individual health care provider with primary practice located at 55 Fruit St Wrn 12, Boston MA 02114-2696. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Addiction Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Matthews, John David can be contacted via phone (617) 724-9144.

Contact Information

Primary practice address
55 Fruit St Wrn 12 Boston MA 02114-2696
Phone: (617) 724-9144
Fax: (617) 724-9155
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 50815 Massachusetts
Allopathic & Osteopathic Physicians / Addiction Psychiatry 2084P0802X 50815 Massachusetts

Profile Details

NPI number 1386627164
LBN Legal business name Matthews, John David
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 25th, 2005
Last updated Jul 8th, 2007 - about 17 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 1386627164 NPPES
Massachusetts MEDICAID 3004066
Massachusetts Other J03365
Massachusetts Other 735411

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