Individual
ABDUL MATEEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2600 SIXTH ST SW, CANTON, OH 44710-1702
(330) 363-6223
Mailing address
2600 SIXTH ST SW, CANTON, OH 44710-1702
(330) 363-6223
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35.139522
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/07/2017
Last updated
03/26/2021
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