Slatalla, Matt Daniel

Slatalla, Matt Daniel is an individual health care provider with primary practice located at 55 Fruit Street Cln 309 Anesthesia Associates, Boston MA 02114-2696. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Slatalla, Matt Daniel can be contacted via phone (617) 665-1630.

Contact Information

Primary practice address
55 Fruit Street Cln 309 Anesthesia Associates Boston MA 02114-2696
Phone: (617) 665-1630
Fax: (617) 665-1091
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 209222 Massachusetts

Profile Details

NPI number 1851364939
LBN Legal business name Slatalla, Matt Daniel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 9th, 2006
Last updated Sep 1st, 2015 - about 9 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 1851364939 NPPES
Massachusetts Other 209222 TUFTS HEALTH PLAN
Massachusetts Other J24069 TUFTS HEALTH PLAN
Massachusetts MEDICAID 0196037 TUFTS HEALTH PLAN

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