Individual
MATTHEW SCOTT CARREA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 BOSTON MEDICAL CTR PL, BOSTON, MA 02118-2908
(617) 638-8000
Mailing address
FILE 57326, LOS ANGELES, CA 90074-0001
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
A193931
CA
2085R0202X
Diagnostic Radiology Physician
ETLL-1084
MA
208D00000X
General Practice Physician
59046
AZ
Other
Enumeration date
03/28/2018
Last updated
04/11/2024
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