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Contact Information

JOHN Q MATTERN II, DO
1051 LOFTIS BLVD
SUITE 100
NEWPORT NEWS, VA23606-3069
 Phone: 757-873-9400
 Fax: 757-873-9420
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Hematology & Oncology

207RH0003X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for JOHN Q MATTERN II · (Male)

NPI # 1730184425
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 06/17/2005
Last updated 01/17/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • VA License # 0102024256
  • VA Medicaid 005808855
  • VA Other 55097 OPTIMA
  • VA Other 110054750 RAILROAD MEDICARE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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