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NPI Code Detail

MEDICARE: MATTHEW GEORGE SAFFIAN PTA

MEDICARE: MATTHEW GEORGE SAFFIAN PTA
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
1225200000XPhysical Therapy Assistant0940NH

General Provider Information

NPI Number : 1487805727
Entity Type Code : Individual
Provider Name (Legal Business Name) : MATTHEW GEORGE SAFFIAN PTA
Provider Business Mailing Address
First Line : 29 PROVIDENCE AVE
Second Line :
City : BERLIN
State : NH
Zip : 03570-3130
Country : US
Telephone Number : 603-752-3072
Fax Number :
Provider Business Practice Location Address
First Line : 29 PROVIDENCE AVE
Second Line :
City : BERLIN
State : NH
Zip : 03570-3130
Country : US
Telephone Number : 603-752-3072
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/06/2008
Last Update Date : 03/28/2013

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