Riad K. Mortada, Md, PC

NPI #1629144407 in Walpole, Massachusetts

Provider Information

NPI Number: 1629144407
Entity Type: Organization
Organization Name: Riad K. Mortada, Md, PC
Primary Specialty: Internal Medicine
Enumeration Date: Nov 25, 2006
Last Updated: Apr 20, 2008

Practice Location

Address: 420 MAIN ST
Address 2: STE # 14
City: Walpole
State: Massachusetts
ZIP Code: 02081-3753
Phone: (508) 660-2241

Authorized Official

Name: RIAD K MORDATA, MD
Title: PRESIDENT
Phone: (508) 660-2241

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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