Individual
MATTHEW DEWOLF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
24 PARK ST, PITTSFIELD, MA 01201-0900
(413) 499-6600
Mailing address
24 PARK ST, PITTSFIELD, MA 01201-0900
(413) 499-6600
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
ETL6008
MA
207XS0106X
Orthopaedic Hand Surgery Physician
ETL6008
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/07/2014
Last updated
08/17/2020
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