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NPI Code Detail

MEDICARE: DR. ARTHUR LB MATEEGA MD

MEDICARE: DR. ARTHUR LB MATEEGA MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1173000000XLegal Medicine35072677MOH

General Provider Information

NPI Number : 1275510372
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ARTHUR LB MATEEGA MD
Provider Business Mailing Address
First Line : 16603 HARVARD AVE
Second Line :
City : CLEVELAND
State : OH
Zip : 44128-2203
Country : US
Telephone Number : 216-921-5222
Fax Number : 216-921-6421
Provider Business Practice Location Address
First Line : 16603 HARVARD AVE
Second Line :
City : CLEVELAND
State : OH
Zip : 44128-2203
Country : US
Telephone Number : 216-921-5222
Fax Number : 216-921-6421
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/29/2005
Last Update Date : 07/08/2007

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