Matthews, John David
Matthews, John David is an individual health care provider with primary practice located at 55 Fruit St Wrn 12, Boston MA 02114-2696. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Addiction Psychiatry. Allopathic & Osteopathic Physicians / Addiction Psychiatry is his primary health care specialty. Matthews, John David can be contacted via phone (617) 724-9144.Contact Information
Primary practice address
55 Fruit St Wrn 12
Boston MA 02114-2696
Phone: (617) 724-9144
Fax: (617) 724-9155
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 50815 | Massachusetts |
| Allopathic & Osteopathic Physicians / Addiction Psychiatry | 2084P0802X | 50815 | Massachusetts |
Profile Details
| NPI number | 1386627164 |
|---|---|
| LBN Legal business name | Matthews, John David |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 25th, 2005 |
| Last updated | Jul 13th, 2026 - about 3 months 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1386627164 | NPPES |
| Massachusetts | MEDICAID | 3004066 | |
| Massachusetts | Other | J03365 | |
| Massachusetts | Other | 735411 |
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