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Individual
ANTHONY R MATTIA
Active
Individual
ANTHONY R MATTIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207ZB0001X
Blood Banking & Transfusion Medicine Physician
014510
ME
207ZC0500X
Cytopathology Physician
014510
ME
207ZD0900X
Dermatopathology (Pathology) Physician
014510
ME
207ZF0201X
Forensic Pathology Physician
014510
ME
207ZH0000X
Hematology (Pathology) Physician
014510
ME
207ZI0100X
Immunopathology Physician
014510
ME
207ZN0500X
Neuropathology Physician
014510
ME
207ZP0101X
Anatomic Pathology Physician
014510
ME
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
014510
ME
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
58791
MA
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
014510
ME
207ZP0213X
Pediatric Pathology Physician
014510
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0005708604
AETNA
ME
01
—
030144
ANTHEM
ME
01
—
2269889
AETNA USHC
ME
05
—
276350099
—
ME
05
—
40209792
—
NH
01
—
F56922
HPHC
ME
01
—
M108781
CIGNA
ME
Enumeration date
11/15/2006
Last updated
03/07/2010
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