Mattingly, David A.

Mattingly, David A. is an individual health care provider with primary practice located at 830 Boylston St Suite 106, Chestnut Hill MA 02467-2503. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery is his primary health care specialty. Mattingly, David A. can be contacted via phone (617) 277-1205.

Contact Information

Primary practice address
830 Boylston St Suite 106 Chestnut Hill MA 02467-2503
Phone: (617) 277-1205
Fax: (617) 232-6528
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 52022 Massachusetts
Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery 207XS0114X 52022 Massachusetts

Profile Details

NPI number 1558328443
LBN Legal business name Mattingly, David A.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 26th, 2006
Last updated Jul 18th, 2012 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558328443 NPPES
Massachusetts MEDICAID 3013995

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