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Individual

MATTHEW NICHOLAS DESALVO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
55 FRUIT ST, FND 216, BOSTON, MA 02114-2621
(617) 724-4255
Mailing address
1 BROOK ST APT 3, BROOKLINE, MA 02445-6972
(504) 376-4725

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
265034
MA

Other

Enumeration date
06/21/2013
Last updated
12/03/2018
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