Anderson, Matthew Peter

Anderson, Matthew Peter is an individual health care provider with primary practice located at 330 Brookline Ave Dept. Of Neurology, Boston MA 02215-5400. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neuropathology, which is considered as his primary health care specialty. Anderson, Matthew Peter can be contacted via phone (617) 667-3090.

Contact Information

Primary practice address
330 Brookline Ave Dept. Of Neurology Boston MA 02215-5400
Phone: (617) 667-3090
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neuropathology 207ZN0500X 153393 Massachusetts

Profile Details

NPI number 1467440735
LBN Legal business name Anderson, Matthew Peter
Credentials M.D., PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 11th, 2005
Last updated Jul 8th, 2007 - about 19 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 1467440735 NPPES
Massachusetts Other 153393 STATE LICENSE
Massachusetts MEDICAID 3173623 STATE LICENSE

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