Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0131X | Foot Surgery | 2037 | MA |
NPI | 1154385078 |
---|---|
Provider Name | Matthew P Butler |
First Address | Boston, MA 02130-3446 |
Second Address | Marlborough, MA 01752 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/04/2006 |
Last Update Date | 13/02/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0358444 | (05) | MA |
33855 | HARVARD PILGRIM HELATHCAR (01) | MA |
768821 | TUFTS HEALTH CARE (01) | MA |
U57527 | (02) | |
Y70999 | BLUE CROSS/BLUE SHIELD (01) | MA |