Mark E. Mattingly M.D.

NPI 1073500757 - Internal Medicine - 207R00000X

NPI Details
NPI 1073500757
Gender Male
Enumeration Date 09/29/2005
Last Updated 07/08/2008
Entity Type Individual
Active Over 11 years ago
Practice Location
PROVIDENCE RI, 02903-4923, US
Phone (401) 444-3985
Fax (401) 444-3986
Business Location
PO BOX 1358
PROVIDENCE RI, 02901-1358, US
Taxonomy Code 207R00000X
License State Rhode Island
License Number MD07209
Remove 1073500757 NPI Number

According to our database, Dr. Mark E. Mattingly M.D. NPI is 1073500757, taxonomy code is 207R00000X and license number is MD07209, license state is located at Rhode Island. Mark E. Mattingly M.D. physically located at 593 Eddy St, Providence RI, 02903-4923. NPI Number Mark E. Mattingly M.D. has the Individual type.

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1073500757 NPI number is provided on an as is basis without warranty of any kind. 1073500757 is maintained by the National Plan & Provider Enumeration System. The contents of Mark E. Mattingly M.D. are for informational purposes only.