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Individual

DR. MARK MATTIE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1950 LITCHFIELD TPKE, WOODBRIDGE, CT 06525-1200
(203) 387-5564
Mailing address
60 LAFAYETTE ST, BRIDGEPORT, CT 06604-7719
(203) 576-4127

Taxonomy

Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
Primary
042422
CT

Other

Enumeration date
03/20/2014
Last updated
03/20/2014
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