Individual
DR. THOMAS K MATTINGLY III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
601 ELMWOOD AVE, ROCHESTER, NY 14642-2175
(585) 273-1900
(585) 276-2663
Mailing address
601 ELMWOOD AVE BOX 670, ROCHESTER, NY 14642-0001
(585) 273-1900
(585) 276-2663
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
0101236200
VA
207T00000X
Neurological Surgery Physician
Primary
291504
NY
Other
Enumeration date
01/24/2006
Last updated
06/29/2023
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