Provider Information for 1285029850
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Mr. MATTHEW WAYNE BOYD II
Sex: Male
NPI: 1285029850
Last Updated: 2024-01-05
Certification Date: 2024-01-05
Certification Date: 2024-01-05
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1285029850 | ||||||||
| Enumeration Date | 2015-04-01 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 45 N MAIN ST STE 301 FALL RIVER, MA 02720-2133 United States Phone: 508-863-9360 | Fax:774-250-3069 | ||||||||
| Primary Practice Address | 45 N MAIN ST STE 301 FALL RIVER, MA 02720-2133 United States Phone: 508-863-9360 | Fax:774-250-3069 | ||||||||
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