DR. Matthew Albert Mavissakalian, D.O.

NPI #1790028397 in Tonawanda, New York

Provider Information

NPI Number: 1790028397
Entity Type: Individual
Name: DR. Matthew Albert Mavissakalian, D.O.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Allergy & Immunology
Credential: D.O.
Enumeration Date: Apr 2, 2013
Last Updated: Nov 5, 2018

Practice Location

Address: 2540 SHERIDAN DR
City: Tonawanda
State: New York
ZIP Code: 14150-9410
Phone: (716) 874-8980

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Allergy & Immunology	207K00000X	Primary

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