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NPI Code Detail

MEDICARE: MICHAEL R DEMATTEO MD

MEDICARE: MICHAEL R DEMATTEO MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208M00000XHospitalist Physician48763MA
2207R00000XInternal Medicine Physician48763MA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1851306278
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHAEL R DEMATTEO MD
Provider Business Mailing Address
First Line : 725 NORTH ST
Second Line :
City : PITTSFIELD
State : MA
Zip : 01201-4124
Country : US
Telephone Number : 413-496-6820
Fax Number : 413-496-6821
Provider Business Practice Location Address
First Line : 725 NORTH ST
Second Line :
City : PITTSFIELD
State : MA
Zip : 01201-4124
Country : US
Telephone Number : 413-496-6820
Fax Number : 413-496-6821
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/31/2006
Last Update Date : 10/08/2025

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Directions to “ MICHAEL R DEMATTEO MD” Practice Location

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