Individual
DR. SOFIA MATTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
55 FRUIT ST, BOSTON, MA 02114-2621
(617) 742-5202
Mailing address
55 FRUIT ST, BOSTON, MA 02114-2621
(617) 724-5202
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
222195
NY
2084P0800X
Psychiatry Physician
Primary
292390
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02633067
—
NY
Enumeration date
05/28/2006
Last updated
12/11/2025
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