Individual
DR. STEPHEN LAWRENCE MATARESE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
215 TOLL GATE RD, SUITE 301, WARWICK, RI 02886-4458
(401) 732-1508
(401) 732-1592
Mailing address
215 TOLL GATE RD, SUITE 301, WARWICK, RI 02886-4458
(401) 732-1508
(401) 732-1592
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0355
RI
207RP1001X
Pulmonary Disease Physician
Primary
0355
RI
207RS0012X
Sleep Medicine (Internal Medicine) Physician
0355
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SM02125
—
RI
Enumeration date
01/09/2006
Last updated
12/28/2015
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