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Individual

MATTHEW JAMES DRAGHETTI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
7 DREYER WAY, ROCHESTER, NH 03867-2775
(603) 332-6413
(603) 335-1076
Mailing address
7 DREYER WAY, ROCHESTER, NH 03867-2775
(603) 332-6413
(603) 335-1076

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
015553
ME
2085R0202X
Diagnostic Radiology Physician
13424
NH
2085R0202X
Diagnostic Radiology Physician
Primary
2022-02092
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
01Y003317ME01
BLUE SHIELD OF NH
NH
01
01Y003317ME03
ANTHEM
NH
01
041192
BLUE SHIELD
ME
05
273900099
ME
01
300120402
RR MEDICARE
ME
05
30201915
NH
01
56117
NH HEALTHSOURCE
NH
01
E000134
CHAMPUS
ME
01
H39828
HARVARD
ME
01
M202991
CIGNA
ME
Enumeration date
11/04/2005
Last updated
09/07/2022
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