Individual
DR. MOKBEL M MATTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
363 HIGHLAND AVE, FALL RIVER, MA 02720-3703
(508) 679-3131
(508) 679-7146
Mailing address
340 MAIN ST, SUITE 670, WORCESTER, MA 01608-1604
(508) 754-3566
(508) 798-8012
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
131629
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3154106
—
MA
Enumeration date
09/09/2005
Last updated
12/05/2008
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