Individual
DR. MARK ANTHONY MATTIOLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4213 HOPE VALLEY RD, DURHAM, NC 27707-5416
(919) 401-8844
(919) 401-8844
Mailing address
4213 HOPE VALLEY RD, DURHAM, NC 27707-5416
(919) 401-8844
(919) 401-8844
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
9500137
NC
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
9500137
NC
Other
Enumeration date
04/10/2007
Last updated
08/21/2013
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