Most Relevant Information
Provider Data
| NPI Number: | 1003298753 |
| Provider Name: | MATTHEW C RADE M.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: | 263975 |
Most Important Dates
| Enumeration Date: | 06/18/2015 |
| Last Updated: | 06/29/2021 |
Provider Practice Location
91 WATER ST
MILFORD
MA
017573039
Practice Location Phone/Fax
| Phone: | 5084584276 |
| Fax: | 5084584213 |
Provider Mailing Location
PO BOX 415348
BOSTON
MA
022415348
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |