Individual
MR. MATTHEW E HEBERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CP CFO
Contact information
Practice address
203 POPES IS, NEW BEDFORD, MA 02740-7232
(508) 991-5577
Mailing address
12 WIGWAM BEACH RD, FAIRHAVEN, MA 02719-2430
(508) 991-5577
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1528271
—
MA
Enumeration date
11/18/2009
Last updated
11/18/2009
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