Individual
DR. MATTHEW PETER ANDERSON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D.
Contact information
Practice address
330 BROOKLINE AVE, DEPT. OF NEUROLOGY, BOSTON, MA 02215-5400
(617) 667-3090
Mailing address
77 AVENUE LOUIS PASTEUR, HIM 846, BOSTON, MA 02115-5727
(617) 667-0853
(617) 667-0810
Taxonomy
Speciality
Code
Description
License number
State
207ZN0500X
Neuropathology Physician
Primary
153393
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
153393
STATE LICENSE
MA
05
—
3173623
—
MA
Enumeration date
10/11/2005
Last updated
07/08/2007
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