Masiello, Matthew G

Masiello, Matthew G is an individual health care provider with primary practice located at 60 Hospital Rd , Leominster MA 01453-2205. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Masiello, Matthew G can be contacted via phone (978) 466-2257.

Contact Information

Primary practice address
60 Hospital Rd Leominster MA 01453-2205
Phone: (978) 466-2257
Fax: (978) 466-2291
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD048546L Pennsylvania
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 58679 Massachusetts

Profile Details

NPI number 1720083892
LBN Legal business name Masiello, Matthew G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2005
Last updated Nov 9th, 2020 - about 6 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 1720083892 NPPES
Pennsylvania MEDICAID 001395041

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