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Individual

MATTHEW P BUTLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.P.M.

Contact information

Practice address
340 MAPLE STREET, SUITE 405, MARLBOROUGH, MA 01752
(617) 480-2541
Mailing address
1153 CENTRE ST, SUITE 5980, BOSTON, MA 02130-3446
(617) 983-1900

Taxonomy

Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
2037
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0358444
MA
01
33855
HARVARD PILGRIM HELATHCAR
MA
01
768821
TUFTS HEALTH CARE
MA
01
Y70999
BLUE CROSS/BLUE SHIELD
MA
Enumeration date
04/17/2006
Last updated
02/13/2012
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