# JAMIE L MATTEO DPM, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134501885
- **Authorized official:** DR. JAMIE L MATTEO DPM (PRESIDENT)
- **Authorized official phone:** (330) 372-2218

## Contact information

- **Practice address:** 628 NILES CORTLAND ROAD SE SUITE 103, WARREN, OH 44484-2473
- **Practice address phone:** (330) 372-2218
- **Practice address fax:** (234) 600-5237
- **Mailing address:** 628 NILES CORTLAND ROAD SE SUITE 103, WARREN, OH 44484-2473
- **Mailing address phone:** (330) 372-2218
- **Mailing address fax:** (234) 600-5237

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | 003719 | OH | Yes |

## Other

- **Enumeration date:** 06/18/2015
- **Last updated:** 02/12/2019