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Individual

DR. DAVID L MATTINGLY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
81 OLD YORK ROAD, SUITE 222, JENKINTOWN, PA 19046
(215) 517-5050
(215) 517-4105
Mailing address
81 OLD YORK RD, SUITE 222, JENKINTOWN, PA 19046
(215) 517-5050
(215) 517-4105

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS009360L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0722997000
BLUE CROSS PERSONAL CHOIC
PA
05
1743575
PA
05
17435750006
PA
01
32328
HEALTH PARTNERS
PA
01
7123369
AETNA
PA
Enumeration date
11/22/2006
Last updated
08/18/2011
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