Active NPIIndividual provider

Matthew Degeorge, MS, ATC, LAT, CSCS

Specialist/Technologist, Athletic Trainer in Randolph, Massachusetts

NPI Number1598123853
Practice location
70 Memorial Pkwy, Randolph, MA 02368-4506
Fax
—
Last updated
February 2, 2016

Matthew Degeorge is a Specialist/Technologist, Athletic Trainer based in Randolph, MA. Matthew Degeorge practices in Randolph, MA and has the professional credentials of MS, ATC, LAT, CSCS. The NPI Number for Matthew Degeorge is 1598123853 and holds a License No. 2363 (MA). The current practice location address for Matthew Degeorge is 70 Memorial Pkwy, Randolph, MA 02368-4506 and can be reached out via phone at 781-961-6220.

Provider Profile Details

NPI Number
1598123853
Provider Name
Matthew Degeorge
Credential
MS, ATC, LAT, CSCS
Provider Entity Type
Individual
Gender
Male
Address
70 Memorial Pkwy, Randolph, MA 02368-4506
Phone Number
781-961-6220
Primary Taxonomy
Specialist/Technologist, Athletic Trainer · 2255A2300X
Sole Proprietor
No
Provider Enumeration Date
February 2, 2016
Last Update Date
February 2, 2016
NPI Status
Active

Provider Business Practice Location Address Details

Address
70 Memorial Pkwy
Randolph, MA 02368-4506
Zip
02368-4506
Phone Number
781-961-6220
Randolph, MA 02368Get directions →

Provider Business Mailing Address Details

Address
680 Centre St
Brockton, MA 02302-3308
City
Brockton
State
MA
Zip
02302-3308

License Information

License Number
2363
License State
MA
Taxonomy
Specialist/Technologist, Athletic Trainer · 2255A2300X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Matthew Degeorge, MS, ATC, LAT, CSCS?

The NPI number of Matthew Degeorge, MS, ATC, LAT, CSCS is 1598123853. It was assigned on February 2, 2016 and is currently active in the NPPES registry.

What is the specialty of Matthew Degeorge, MS, ATC, LAT, CSCS?

Matthew Degeorge, MS, ATC, LAT, CSCS is registered under the primary taxonomy Specialist/Technologist, Athletic Trainer (code 2255A2300X), licensed in MA under license number 2363.

Where does Matthew Degeorge, MS, ATC, LAT, CSCS practice?

The practice location is 70 Memorial Pkwy, Randolph, MA 02368-4506. The office can be reached at 781-961-6220 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1598123853 directly on the NPPES registry website.

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