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1437129483
MATTISON A BURT
ITHACA, NY
NPI
1437129483
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207L00000X Anesthesiology
(Licence: NY 207761)
Enumeration Date
2006-01-24
Last Update Date
2008-11-14
Business Address
Dr. MATTISON A BURT MD
101 DATES DRIVE
ITHACA, NY 14850
Phone number: 607-274-4011
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Mailing Address
Dr. MATTISON A BURT MD
202 TAUGHANNOCK BLVD PO BOX 366
ITHACA, NY 14851
Phone number: 607-277-4035
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