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Organization

STEPHEN L. MATARESE DO

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. STEPHEN LAWRENCE MATARESE DO (OWNER/ PHYSICIAN)
(401) 732-1591
Entity
Organization

Contact information

Practice address
215 TOLL GATE RD, STE 301, WARWICK, RI 02886-4458
(401) 732-1591
(401) 732-1592
Mailing address
215 TOLL GATE RD, STE 301, WARWICK, RI 02886-4458
(401) 732-1591
(401) 732-1592

Taxonomy

Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
DO 0355
RI

Other

Enumeration date
03/26/2015
Last updated
03/26/2015
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