Individual
MANUELA C MATEI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
40 HOLLAND ST, INTERNAL MEDICINE, SOMERVILLE, MA 02144-2705
(617) 629-6350
(617) 629-6067
Mailing address
147 MILK ST, PROVIDER ENROLLMENT - 9TH FLOOR, BOSTON, MA 02109-4806
(617) 559-8374
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
226940
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
494582
TUFTS
MA
01
—
J29821
BLUE CROSS
MA
Enumeration date
05/17/2006
Last updated
06/27/2011
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