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Individual

GEORGE G MATEWERE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1790 SATURN DR, NEW ORLEANS, LA 70129-2270
(504) 253-4674
(504) 253-4717
Mailing address
1790 SATURN ST, NEW ORLEANS, LA 70129-2270
(504) 253-4674
(504) 253-4717

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
M1230
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1533807
TX
Enumeration date
10/06/2005
Last updated
06/03/2010
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