Individual
MATTHEW J LAVALLEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
736 CAMBRIDGE ST, CONNELL PAVILLION, BRIGHTON, MA 02135
(617) 789-2666
Mailing address
960 MASSACHUSETTS AVE STE 2, BOSTON, MA 02118-2690
(617) 414-5405
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA100060
MA
Other
Enumeration date
04/03/2023
Last updated
07/07/2026
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