Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | 273713 | MA |
N | 207XS0106X | Orthopaedic Hand Surgeon | 193876 | NC |
NPI | 1134462393 |
---|---|
Provider Name | Andrew Matson |
First Address | Boston, MA 02115-6110 |
Second Address | Boston, MA 02115 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 05/04/2013 |
Last Update Date | 20/07/2018 |