Individual
MATTHEW CORREIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
(401) 662-3966
Mailing address
34 BUCKS WAY, TIVERTON, RI 02878-2626
(401) 662-3966
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
239671
MA
Other
Enumeration date
04/17/2021
Last updated
04/17/2021
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