Individual
MR. ROSS PAUL MATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
200 NASHUA ST, BOSTON, MA 02114-1105
(617) 894-3983
Mailing address
33 SANDRICK RD, BELMONT, MA 02478-4626
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
RN2284180
MA
Other
Enumeration date
02/26/2019
Last updated
02/26/2019
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