Individual
DR. MATTHEW KALLIATH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
105 PARK ST, HYANNIS, MA 02601-5205
(508) 862-5565
Mailing address
105 PARK ST, HYANNIS, MA 02601-5205
(256) 577-8566
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
OT016633
PA
Other
Enumeration date
07/02/2015
Last updated
09/10/2024
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