Mattison, Melissa Lowe Plocher

Mattison, Melissa Lowe Plocher is an sole proprietor health care provider with primary practice located at 330 Brookline Ave , Boston MA 02215-5400. She recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Medicine, which is considered as her primary health care specialty. Mattison, Melissa Lowe Plocher can be contacted via phone (617) 754-4677.

Contact Information

Primary practice address
330 Brookline Ave Boston MA 02215-5400
Phone: (617) 754-4677
Fax: (617) 632-0215
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X 205609 Massachusetts

Profile Details

NPI number 1154310670
LBN Legal business name Mattison, Melissa Lowe Plocher
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 18th, 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 1154310670 NPPES
Massachusetts MEDICAID 2021927

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