Organization
NELSON J MATOS, D.O., P.L.L.C.
Active
Other names
Family Medicine Associates
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NELSON J MATOS D.O. (BUSINESS OWNER)
(978) 794-8119
Entity
Organization
Contact information
Practice address
50 PROSPECT ST, SUITE 505, LAWRENCE, MA 01841-2841
(978) 794-8119
(978) 794-9912
Mailing address
50 PROSPECT ST, SUITE 505, LAWRENCE, MA 01841-2841
(978) 794-8119
(978) 794-9912
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
160661
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0121240
—
MA
Enumeration date
06/26/2008
Last updated
06/26/2008
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