Individual
JAMES M MATTUCCI JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
390 PIERCE ST, KINGSTON, PA 18704-5532
(570) 288-3535
(570) 288-0804
Mailing address
390 PIERCE ST, KINGSTON, PA 18704-5532
(570) 288-3535
(570) 288-0804
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
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