Individual
JAMES FRANCIS MASTROMATTEO
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1153 CENTRE ST, RADIOLOGY, FAULKNER HOSPITAL, BOSTON, MA 02130-3446
(617) 983-7163
(617) 983-7553
Mailing address
1153 CENTRE ST, RADIOLOGY, FAULKNER HOSPITAL, BOSTON, MA 02130-3446
(617) 983-7163
(617) 983-7553
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
81781
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
081781
TUFTS HEALTH CARE
MA
05
—
3147126
—
MA
01
—
J25545
BLUE CROSS/BLUE SHIELD
MA
Enumeration date
09/30/2005
Last updated
07/08/2007
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