Individual
RONALD J. MATTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
830 OLD LANCASTER RD., SUITE 306, BRYN MAWR, PA 19010
(610) 527-1185
(610) 527-1940
Mailing address
830 OLD LANCASTER RD, SUITE 306, BRYN MAWR, PA 19010
(610) 436-6529
(610) 436-6479
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD013533E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0006386640003
—
PA
05
—
1013332660002
—
PA
Enumeration date
03/24/2006
Last updated
02/01/2011
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