Individual
MATTHEW REDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AGACNP
Contact information
Practice address
15 PARKMAN ST, BOSTON, MA 02114-3117
(617) 643-7557
Mailing address
15 PARKMAN ST, BOSTON, MA 02114-3117
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
2283607
MA
Other
Enumeration date
09/23/2016
Last updated
09/23/2016
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