Individual
MATTHEW J BELLANICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
15 PARKMAN STREET, WAC 8 MGH NEUROLOGY ASSOCIATES, BOSTON, MA 02114
(617) 724-3914
Mailing address
PO BOX 9142, MASS GENERAL PHYSICIAN ORGANIZATION INC, CHARLESTOWN, MA 02129-9142
(617) 724-0287
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
132516
MA
Other
Enumeration date
11/29/2006
Last updated
07/08/2007
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