Individual
DR. DAVID E MATTESON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2001 MEDICAL PKWY, ANNAPOLIS, MD 21401-3280
(443) 481-1000
(443) 481-1360
Mailing address
920 ELKRIDGE LANDING RD, LINTHICUM, MD 21090-2917
(443) 462-5010
(410) 684-2031
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
D0035235
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1191974
AETNA HMO
MD
01
—
145724700
FEDERAL WORKMAN'S COMP
MD
01
—
887BAA 41761203
CAREFIRST BCBS
MD
05
—
936200201275971300
—
MD
01
—
K5850002
CAREFIRST BCBS
DC
Enumeration date
10/05/2005
Last updated
07/20/2017
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