MEDICARE: MICHAEL F MASTROMATTEO 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
1	2085R0202X	Diagnostic Radiology Physician	ME153139	FL
2	2085R0202X	Diagnostic Radiology Physician	210267	MA

Other Identifiers

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

General Provider Information

NPI Number	:	1023002045
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHAEL F MASTROMATTEO MD

Provider Business Mailing Address
First Line	:	BMCHS PROVIDER ENROLLMENT
Second Line	:	960 MASSACHUSETTS AVE FLR 2
City	:	BOSTON
State	:	MA
Zip	:	02118-0211
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	736 CAMBRIDGE ST
Second Line	:
City	:	BRIGHTON
State	:	MA
Zip	:	02135-2907
Country	:	US
Telephone Number	:	617-789-3000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/06/2005
Last Update Date	:	08/06/2025

Similar Medicare Providers

1801319058 — RAHEEL IRSHAD SHAIKH D.O.
Practice Location Address:

736 CAMBRIDGE ST
BRIGHTON, MA
02135-2907

Practice Phone: 617-789-2777
Practice Fax:

1356204028 — MADELYN PAULSEN
Practice Location Address:

736 CAMBRIDGE ST
BRIGHTON, MA
02135-2907

Practice Phone: 617-789-2220
Practice Fax:

1235635483 — YUEMEI ZHANG MD
Practice Location Address:

736 CAMBRIDGE ST
BRIGHTON, MA
02135-2907

Practice Phone: 857-413-6045
Practice Fax:

1568455939 — MAX G BARANOVSKY MD
Practice Location Address:

736 CAMBRIDGE ST , QUINN PAVILLION 3RD FLOOR
BRIGHTON, MA
02135-2907

Practice Phone: 617-789-2102
Practice Fax: 617-789-3477

1124012299 — LESLIE A MARTIN M.D.
Practice Location Address:

736 CAMBRIDGE ST , MOTHER MARY ROSE FL 3
BRIGHTON, MA
02135-2907

Practice Phone: 617-780-3048
Practice Fax: 617-789-2959

1760476592 — ALLA V MARSHANSKY MD
Practice Location Address:

736 CAMBRIDGE ST
BRIGHTON, MA
02135-2907

Practice Phone: 617-789-2777
Practice Fax: 617-254-6384

Directions to “ MICHAEL F MASTROMATTEO MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.