Matthew L. Wiese
Pediatrician Pediatric Emergency Doctor
60 Hospital Rd
Leominster
, Massachusetts 01453
Matthew L. Wiese
Pediatrician Pediatric Emergency Doctor
60 Hospital Rd
Leominster
, Massachusetts 01453
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About
Features
Specialties
- Pediatrician
- Pediatric Emergency Doctor
Languages spoken
- English
Location
First Address
- Matthew L. Wiese
- Po Box 415348
- Boston, MA
- Zip : 02241-5348
- Phone :
Second Address
- Matthew L. Wiese
- 60 Hospital Rd
- Leominster, MA
- Zip : 01453
- Fax : (978) 466-2291
- Phone : (978) 466-2257
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 208000000X | Pediatrician | 274395 | MA |
| N | 2080P0204X | Pediatric Emergency Doctor | 274395 | MA |
National Provider Identifier
| NPI | 1316333446 |
|---|---|
| Provider Name | Matthew L. Wiese |
| First Address | Boston, MA 02241-5348 |
| Second Address | Leominster, MA 01453 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 15/04/2015 |
| Last Update Date | 22/05/2018 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.