Mark P Dematteo in Braintree - Emergency Medicine

Mark P Dematteo - NPI 1922044015

Mark P Dematteo is a Emergency Medicine in Braintree, Massachusetts. Mark P Dematteo practices all healthcare services and medical treatments related to Emergency Medicine. The NPI Number for Mark P Dematteo is 1922044015. The last update date is 2021-01-07.

Mark P Dematteo's current location address is 111 Grossman Dr, Braintree, Massachusetts. You can contact this provider via phone number 7818491000. The mailing address for Mark P Dematteo is 111 Grossman Dr, Braintree, Massachusetts. To know further, please read the information below!

Provider Profile Detail

Provider Name Mark P Dematteo
Address 111 Grossman Dr, Braintree, Massachusetts
Phone Number 7818491000
Fax Number
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1922044015
Provider Enumeration Date 2006-06-20
Last Updated Date 2021-01-07

Provider Mailing Address Detail

Address 111 Grossman Dr
City Braintree
State Massachusetts (MA)
Post Code 21844997
Phone Number 7818491000
Fax Number

Provider's Primary Taxonomy Detail

Speciality Emergency Medicine
Taxonomy 207P00000X
Licence No 150129
Definition:
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
766710 MA TUFTS
3158250 MA --
930100100 MA RAILROAD MEDICARE
J17389 MA BLUE CROSS BLUE SHIELD

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FAQs about Mark P Dematteo

What is the unique identifier code issued to Mark P Dematteo by the Centers for Medicare & Medicaid Services?

The Mark P Dematteo has been assigned the NPI (National Provider Identifier) 1922044015. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you kindly provide the complete physical address where Mark P Dematteo's facilities are geographically located?

The facilities of Mark P Dematteo are physically situated at the following location: 111 Grossman Dr, Braintree, MA, 21844997.

What is Mark P Dematteo's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Mark P Dematteo's specialized field of practice is Emergency Medicine, and the corresponding taxonomy code that categorizes this area of specialization is 207P00000X.

When did the Mark P Dematteo receive its 1922044015?

The Mark P Dematteo was issued its 1922044015 on 2006-06-20, which is the date when the organization was assigned this unique identifier.

As of what date was the information regarding Mark P Dematteo, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Mark P Dematteo, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2021-01-07.

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