Individual
MATTHEW T MCGONAGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
750 WASHINGTON ST, DEPT OF PSYCHIATRY, BOSTON, MA 02111-1526
(617) 469-5385
Mailing address
186 STRATFORD ST, #1, WEST ROXBURY, MA 02132-2141
(617) 469-5385
(617) 636-4852
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
223459
MA
Other
Enumeration date
07/13/2006
Last updated
07/08/2007
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