Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | 2009-00378 | NC |
N | 207XX0005X | Sports Medicine Orthopaedic Surgeon | 2009-00378 | NC |
NPI | 1144324724 |
---|---|
Provider Name | Matthew T Boes |
First Address | Raleigh, NC 27612-5243 |
Second Address | Raleigh, NC 27612-5243 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/09/2006 |
Last Update Date | 27/05/2021 |