Individual
DAVID F MATTICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
80 HIGHLAND ST, LACONIA, NH 03246-3235
(603) 524-3211
Mailing address
80 HIGHLAND ST, LACONIA, NH 03246-3235
(603) 524-3211
(603) 527-7038
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
9548
NH
207Q00000X
Family Medicine Physician
9548
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0106240Y0NH01
ANTHEM
NH
05
—
30009610
—
NH
Enumeration date
02/08/2006
Last updated
01/31/2008
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