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Contact Information

MATTHEW WETHERELL
288 GROVE ST
WORCESTER, MA01605-3934
 Phone: 508-856-9650
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatric Medicine

207QG0300X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for MATTHEW WETHERELL · (Male)

NPI # 1134624042
Status Active
Credentials
Entity Individual
Enumeration date 03/25/2018
Last updated 05/12/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • MA License # 292061
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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