DR. MD Mathew Miceli, NPI 1447210745
Hematology & Oncology Physician in Demopolis, AL, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1447210745
NPI Entity Type Individual
Provider Name DR. MD Mathew Miceli
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 105 Us Highway 80 E, Demopolis, AL, US
Provider Mailing Address 1400 Afflink Pl, Suite 100, Tuscaloosa, AL, US, 354062289
Is Sole Proprietor? Yes
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Primary Taxonomy

Taxonomy Code

207RH0003X

Taxonomy Name Hematology & Oncology Physician
Classification

Internal Medicine

Group

Allopathic & Osteopathic Physicians

License No. 31266
License State AL
Description An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

Business Address

DR. MD Mathew Miceli
105 Us Highway 80 E

Demopolis, AL, US

Phone: 334-287-2647
Fax: 334-287-2405

Mailing Address

DR. MD Mathew Miceli
1400 Afflink Pl
Suite 100
Tuscaloosa, AL, US
ZIP 354062289
Phone: 205-366-9740
Fax: 205-344-9992

Secondary Taxonomies

Taxonomy Code Group Classification License No. State Primary?

207RX0202X

Allopathic & Osteopathic Physicians

Internal Medicine

20438 MS No

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