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1427461599
DOUGLAS A MATA
BOSTON, MA
NPI
1427461599
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208600000X Surgery
(Licence: MA L-260310)
Enumeration Date
2014-06-06
Last Update Date
2015-07-22
Business Address
DOUGLAS A MATA MD
MASSACHUSETTS GENERAL HOSPITAL 55 FRUIT STREET
BOSTON, MA 02114
Phone number: 617-726-2800
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Mailing Address
DOUGLAS A MATA MD
375 BOYLSTON STREET BWH BWPO PROVIDER SERVICES
BROOKLINE, MA 02445-6007
Phone number: 857-307-0866
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