Weintraub, Matthew J

Weintraub, Matthew J is an individual health care provider with primary practice located at 125 Parker Hill Ave , Roxbury Crossing MA 02120-2847. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Weintraub, Matthew J can be contacted via phone (617) 754-5800.

Contact Information

Primary practice address
125 Parker Hill Ave Roxbury Crossing MA 02120-2847
Phone: (617) 754-5800
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 49951 Massachusetts

Profile Details

NPI number 1083642763
LBN Legal business name Weintraub, Matthew J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 29th, 2006
Last updated Mar 10th, 2010 - about 15 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 1083642763 NPPES
Massachusetts MEDICAID 3005658

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