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Matthew Fothergill
NPI 1083187025 · on the registry since 2019
Practice
- Address
- 201 Main St Unit 35
Woburn, MA 01801 - Phone
- (781) 996-8916
Registry record
- Primary taxonomy
- 225100000X
225100000X
- Licence states on file
- MA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2019-01-02
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Massachusetts