Individual
MATTHEW P PIANTEDOSI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, ATC, LAT
Contact information
Practice address
231 FOREST STREET, BABSON COLLEGE, BABSON PARK, MA 02457
(781) 239-5687
Mailing address
103 CENTRAL ST, WALTHAM, MA 02453-5421
(617) 943-4466
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1883
MA
Other
Enumeration date
01/13/2015
Last updated
01/13/2015
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