DR. Derek Noel Mattimoe, MD
NPI #1164494613 in Stony Brook, New York
Provider Information
- NPI Number
- 1164494613
- Entity Type
- Individual
- Name
- DR. Derek Noel Mattimoe, MD
- Gender
- Not Specified
- Sole Proprietor
- Not Answered
- Primary Specialty
- Family Medicine
- Credential
- MD
- Enumeration Date
- Feb 7, 2006
- Last Updated
- Jul 9, 2007
Practice Location
- Address
- 2500 NESCONSET HWY
- Address 2
- BLDG 7D
- City
- Stony Brook
- State
- New York
- ZIP Code
- 11790-2555
- Phone
- (631) 751-3322
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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