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NPI Code Detail

MEDICARE: ANDREW MATSON MD

MEDICARE: ANDREW MATSON 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
1207X00000XOrthopaedic Surgery Physician273713MA
2207XS0106XOrthopaedic Hand Surgery Physician193876NC
3207XS0106XOrthopaedic Hand Surgery PhysicianMD16623RI
4390200000XStudent in an Organized Health Care Education/Training Program
5207X00000XOrthopaedic Surgery PhysicianMD16623RI

General Provider Information

NPI Number : 1134462393
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANDREW MATSON MD
Provider Business Mailing Address
First Line : 455 TOLL GATE RD
Second Line : PRC AND CREDENTIALING
City : WARWICK
State : RI
Zip : 02886-2759
Country : US
Telephone Number : 401-273-0641
Fax Number : 401-273-2919
Provider Business Practice Location Address
First Line : 455 TOLL GATE RD
Second Line :
City : WARWICK
State : RI
Zip : 02886-2759
Country : US
Telephone Number : 401-729-2800
Fax Number : 401-729-2877
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/05/2013
Last Update Date : 06/09/2026

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