Individual
MATTHEW PAUL WHALEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAT
Contact information
Practice address
WEBSTER CENTER, BABSON COLLEGE, BABSON PARK, MA 02457-2195
(781) 239-5687
Mailing address
346 LINCOLN ST, 17, WALTHAM, MA 02451-2195
(781) 239-5687
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1668
MA
Other
Enumeration date
07/18/2006
Last updated
07/08/2007
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