Individual
MATTHEW J BAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
150 S HUNTINGTON AVE, BOSTON, MA 02130-4817
(617) 232-9500
Mailing address
150 S HUNTINGTON AVE, BOSTON, MA 02130-4817
(617) 232-9500
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA4374
MA
363AS0400X
Surgical Physician Assistant
Primary
PA4374
MA
Other
Enumeration date
03/13/2012
Last updated
04/07/2022
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