Individual
MICHAEL F MASTROMATTEO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
736 CAMBRIDGE ST, BRIGHTON, MA 02135-2907
(617) 789-2762
Mailing address
960 MASSACHUSETTS AVE, FL 2, BOSTON, MA 02118-0211
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
210267
MA
2085R0202X
Diagnostic Radiology Physician
ME153139
FL
2085R0204X
Vascular & Interventional Radiology Physician
Primary
210267
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0181111
—
MA
05
—
110006627A
—
MA
05
—
3095451
—
NH
Enumeration date
09/06/2005
Last updated
05/08/2026
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