Healthcare Provider Details

I. General information

NPI: 1598691826
Provider Name (Legal Business Name): MATTEO CHRISTIAN BUSER
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/23/2026
Last Update Date: 06/23/2026
Certification Date: 06/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

37 WATER ST STE 1
WAKEFIELD MA
01880-3044
US

IV. Provider business mailing address

6 LORRAINE TER APT 3
ALLSTON MA
02134-4457
US

V. Phone/Fax

Practice location:
  • Phone: 781-331-7866
  • Fax: 781-331-7976
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: