Individual
JOHN MATTHEW ARCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
55 FRUIT ST, BOSTON, MA 02114-2621
(972) 977-6510
Mailing address
55 FRUIT ST, BOSTON, MA 02114-2621
(972) 977-6510
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
286426
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/02/2016
Last updated
06/28/2021
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