Provider Demographics
NPI:1124125182
Name:FILIPPI, MATTHEW J (DPM)
Entity type:Individual
Prefix:DR
First Name:MATTHEW
Middle Name:J
Last Name:FILIPPI
Suffix:
Gender:M
Credentials:DPM
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Mailing Address - Street 1:313 MAPLE STREET
Mailing Address - Street 2:MEADOWS PODIATRY
Mailing Address - City:EAST LONGMEADOW
Mailing Address - State:MA
Mailing Address - Zip Code:01028
Mailing Address - Country:US
Mailing Address - Phone:413-525-4311
Mailing Address - Fax:413-525-4314
Practice Address - Street 1:313 MAPLE STREET
Practice Address - Street 2:MEADOWS PODIATRY
Practice Address - City:EAST LONGMEADOW
Practice Address - State:MA
Practice Address - Zip Code:01028
Practice Address - Country:US
Practice Address - Phone:413-525-4311
Practice Address - Fax:413-525-4314
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2008-06-25
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MA2101213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA468711OtherTUFTS
MAY71114OtherBCBS OF MASS
MA0326640Medicaid
MA468711OtherTUFTS
MA0326640Medicaid
MAY71114OtherBCBS OF MASS