Parker, Matthew Wayne

Parker, Matthew Wayne is an individual health care provider with primary practice located at 55 Lake Ave N Acc Building, Worcester MA 01655-0002. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Nuclear Cardiology. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Parker, Matthew Wayne can be contacted via phone (508) 334-3452.

Contact Information

Primary practice address
55 Lake Ave N Acc Building Worcester MA 01655-0002
Fax: (508) 856-4571
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 235308 Massachusetts
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 048896 Connecticut
Allopathic & Osteopathic Physicians / Nuclear Cardiology 207UN0901X 235308 Massachusetts
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 235308 Massachusetts

Profile Details

NPI number 1386897817
LBN Legal business name Parker, Matthew Wayne
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 28th, 2008
Last updated Mar 24th, 2022 - about 2 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 1386897817 NPPES
Massachusetts MEDICAID 110104590A

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