Anthony M Mattera DO

NPI 1013909068 - Family Medicine - 207QG0300X

NPI Details
NPI 1013909068
Gender Male
Enumeration Date 08/16/2005
Last Updated 04/18/2008
Entity Type Individual
Active Over 12 years ago
Practice Location
14785 W 101ST AVE
DYER IN, 46311-3371, US
Phone (219) 864-2235
Fax (219) 365-1398
Business Location
PO BOX 1000
DYER IN, 46311-0800, US
Phone (219) 864-2107
Fax (219) 864-2649
Taxonomy Code 207QG0300X
License State
License Number
Remove 1013909068 NPI Number

According to our database, Anthony M Mattera DO NPI is 1013909068, taxonomy code is 207QG0300X Anthony M Mattera DO physically located at 14785 W 101st Ave, Dyer IN, 46311-3371. NPI Number Anthony M Mattera DO has the Individual type.

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1013909068 NPI number is provided on an as is basis without warranty of any kind. 1013909068 is maintained by the National Plan & Provider Enumeration System. The contents of Anthony M Mattera DO are for informational purposes only.