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Individual

DR. MATTHEW JONATHAN CARTY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1153 CENTRE STREET, SUITE 21, FAULKNER HOSPITAL, JAMAICA PLAIN, MA 02130
(617) 983-4555
(617) 983-4534
Mailing address
111 CYPRESS ST, BROOKLINE, MA 02445-6002
(857) 307-0896

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
215047
MA
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
237064
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
110083436A
MA
Enumeration date
11/10/2006
Last updated
07/18/2012
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