Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | MD16250 | ME |
N | 2086S0105X | Surgery of the Hand | MD16250 | ME |
NPI | 1144221433 |
---|---|
Provider Name | Sacha D Matthews |
First Address | Lewiston, ME 04243-7291 |
Second Address | Portland, ME 04103-6003 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/08/2005 |
Last Update Date | 01/02/2021 |