Individual
MR. MATTHEW DAVID MANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
940 BELMONT ST, BROCKTON, MA 02301-5596
(508) 583-4500
Mailing address
832 DORCHESTER AVE APT 6, DORCHESTER, MA 02125-1172
(978) 767-0139
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
RN2327131
MA
Other
Enumeration date
08/12/2024
Last updated
08/12/2024
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