Individual
RUTH MADELINE MATEO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
330 BROOKLINE AVE # SHAPIRO6, BOSTON, MA 02215-5400
(617) 754-9600
(617) 667-8665
Mailing address
BIDMC-HEALTHCARE ASSOCIATES, 330 BROOKLINE AVENUE, E/SHAPIRO 6, BOSTON, MA 02215
(617) 754-9600
(617) 667-8665
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN232554
MA
363LP2300X
Primary Care Nurse Practitioner
RN232554
MA
Other
Enumeration date
02/20/2019
Last updated
03/24/2020
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