Individual
MATTHEW G MASIELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
60 HOSPITAL RD, LEOMINSTER, MA 01453-2205
(978) 466-2257
(978) 466-2291
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
Primary
58679
MA
208000000X
Pediatrics Physician
MD048546L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001395041
—
PA
Enumeration date
06/16/2005
Last updated
11/09/2020
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