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Individual

DR. BONNIE L MATHEWS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
55 LAKE AVE N, PEDIATRIC EMERGENCY MEDICINE, WORCESTER, MA 01655-0002
(774) 442-2599
(774) 442-2510
Mailing address
PO BOX 415348, BOSTON, MA 02241-5348
(800) 225-8885
(508) 334-1977

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
223848
MA
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
223848
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2132524
MA
Enumeration date
12/05/2006
Last updated
11/16/2020
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