Individual provider · Type 1 NPI

Matthew Vieira, PA-C

Surgical Physician Assistant · Scarborough, ME

NPI number 1790085702 Active

Practice location

49 Spring St, 1st Floor
Scarborough, ME 04074-8926

Call (207) 885-0011 Map

Fax (207) 885-5851

Mailing address

301C US Route 1
Scarborough, ME 04074-9701

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XPA001219 (ME)

Surgical Physician Assistant: Definition to come...

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About NPI 1790085702

Matthew Vieira, PA-C's National Provider Identifier is 1790085702, issued on Oct 25, 2010. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Scarborough, ME. The record was last updated on Jul 2, 2012.