Provider Information for 1992441042
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MATTHEW J. RASPANTI
Sex: Male
NPI: 1992441042
Last Updated: 2022-06-30
Certification Date: 2022-06-30
Certification Date: 2022-06-30
Details
Name | Value | ||||||||
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NPI | 1992441042 | ||||||||
Enumeration Date | 2022-05-11 | ||||||||
NPI Type | NPI-1 Individual | ||||||||
Sole Proprietor | NO | ||||||||
Status | Active | ||||||||
Mailing Address | 801 ALBANY ST FL G BOSTON, MA 02119-6936 United States Phone: | Fax: | ||||||||
Primary Practice Address | 1 BOSTON MEDICAL CTR PL BOSTON, MA 02118-2908 United States Phone: 617-414-5245 | Fax:617-414-5520 | ||||||||
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