Individual
DR. MATTHEW M HUTTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD MPH
Contact information
Practice address
15 PARKMAN ST, WAC 335, BOSTON, MA 02114-3117
(617) 726-2819
(617) 724-3418
Mailing address
PO BOX 9142, MASS GENERAL PHYSICIAN ORGANIZATION, CHARLESTOWN, MA 02129-9142
(617) 726-2819
(617) 724-3418
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
214150
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0171280
—
MA
01
—
411655
TUFTS HEALTH PLAN
MA
01
—
J24905
BCBS MA
MA
Enumeration date
11/08/2005
Last updated
07/19/2012
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