Individual
MICHAEL ALLEN MATTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5 WASHINGTON PL, SUITE 1A, BEDFORD, NH 03110-6706
(603) 663-8060
(603) 663-8066
Mailing address
5 WASHINGTON PL, SUITE 1A, BEDFORD, NH 03110-6706
(603) 663-8060
(603) 663-8066
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
11967
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01YP07467NH02
ANTHEM
NH
01
—
2155068
UNITED HEATHCARE
—
05
—
30204461
—
NH
01
—
3952838
AETNA
—
01
—
710701
HARVARD PILGRIM
—
01
—
8366627010
CIGNA
—
Enumeration date
05/05/2006
Last updated
12/16/2011
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