Individual
JAMES M MATTUCCI JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MD067772L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0018537730002
—
PA
01
—
1444722
BS
PA
Enumeration date
08/13/2006
Last updated
11/23/2021
Update your record
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