Individual
DR. NICHOLAS STEPHEN MATAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
46 NORTH ST, SUITE 6, HYANNIS, MA 02601-3845
(508) 778-4888
(508) 778-4887
Mailing address
46 NORTH ST, SUITE 6, HYANNIS, MA 02601-3845
(508) 778-4888
(508) 778-4887
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
79688
MA
207RI0011X
Interventional Cardiology Physician
79688
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1669419016
UNICARE
MA
Enumeration date
06/01/2006
Last updated
08/18/2014
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