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Organization
RIAD K. MORTADA, MD, PC
Active
Organization
RIAD K. MORTADA, MD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RIAD K MORDATA MD (PRESIDENT)
(508) 660-2241
Entity
Organization
Contact information
Practice address
420 MAIN ST, STE # 14, WALPOLE, MA 02081-3753
(508) 660-2241
(508) 660-2914
Mailing address
420 MAIN ST, STE # 14, WALPOLE, MA 02081-3753
(508) 660-2241
(508) 660-2914
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04-02110
UNITED HEALTHCARE
MA
01
—
645173
TUFTS HEALTH PLAN
MA
05
—
9784691
—
MA
01
—
M17091
BCBS
MA
01
—
RR34
HARVARD PILGRIM
MA
Enumeration date
11/25/2006
Last updated
04/20/2008
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