T Matthew Mak MD INC

NPI #1518105345 in Ashtabula, Ohio

Provider Information

NPI Number: 1518105345
Entity Type: Organization
Organization Name: T Matthew Mak MD INC
Primary Specialty: Specialist
Enumeration Date: Feb 2, 2009
Last Updated: Feb 4, 2009

Practice Location

Address: 2728 LAKE AVE
City: Ashtabula
State: Ohio
ZIP Code: 44004-4960
Phone: (440) 992-7788

Authorized Official

Name: DR. T. MATTHEW MAK, M.D.
Title: OWNER
Phone: (440) 992-7788

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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