Individual
DR. MATTHEW DOMINIC BACCHETTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3601 THE VANDERBILT CLINIC, NASHVILLE, TN 37232
(615) 936-3000
Mailing address
3841 GREEN HILLS VILLAGE DR STE 200, NASHVILLE, TN 37215-2691
(615) 936-2000
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
215071
NY
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
215071
NY
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
57605
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02959328
—
NY
Enumeration date
09/26/2006
Last updated
03/23/2022
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