| Doctor Name: | MATTHEW VIGLIANTI |
| NPI Number: | 1013312396 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PA-C |
| License Number: | PA5195 |
| Business Practice Address: | 480 Hawthorn St North Dartmouth, MA - 027473729 |
| Business Phone Number: | 5089739100 |
| Business Fax Number: | 5089739155 |
| Mailing Address: | 200 Mill Rd, Suite 180 FAIRHAVEN |
| State: | MA |
| Postal Code: | 027195252 |
| Phone Number: | 5089732000 |
| Fax Number: | 5089732001 |
| NPI Enumeration Date: | 10/28/2014 |
| NPI Last Update Date: | 02/10/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AS0400X |
| License Number: | PA5195 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Surgical |
| Taxonomy Definition: | |