Individual
MATTHEW B WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
310 BAKER AVE, CONCORD, MA 01742-2140
(978) 287-8229
Mailing address
310 BAKER AVE, CONCORD, MA 01742-2140
(978) 287-8229
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1112
MA
Other
Enumeration date
10/04/2018
Last updated
10/04/2018
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