Individual
MR. MATTHEW CASEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
2100 DORCHESTER AVE, DORCHESTER CENTER, MA 02124-5615
(617) 296-4000
Mailing address
8 PENHALLOW ST, DORCHESTER CENTER, MA 02124-2308
(617) 288-1192
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
210
MA
Other
Enumeration date
09/15/2006
Last updated
07/08/2007
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