Organization Name: | T MATTHEW MAK MD INC |
NPI Number: | 1518105345 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | T. MATTHEW MAK (OWNER) |
Mailing Address: | 2728 Lake Ave Ashtabula |
State: | OH US |
Postal Code: | 440044960 |
Phone Number: | 4409927788 |
Fax Number: | 4409980388 |
NPI Enumeration Date: | 02/02/2009 |
NPI Last Update Date: | 02/04/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 35044839 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |