Organization
ORTHOPAEDIC SURGICAL CONCIERGE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANGELO MATTALINO M.D. (MANAGER/PRESIDENT)
(480) 865-2145
Entity
Organization
Contact information
Practice address
2222 E HIGHLAND AVE, STE 425, PHOENIX, AZ 85016-4872
(480) 865-2145
Mailing address
2711 CENTERVILLE RD, STE 300, PMB #573, WILMINGTON, DE 19808-1660
(480) 865-2145
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
17728
MEDICAL LICENSE
AZ
Enumeration date
03/02/2016
Last updated
09/01/2016
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