| Riad K. Mortada, Md, Pc | |
|
420 Main St Ste # 14 Walpole MA 02081-3753 | |
| (508) 660-2241 | |
| (508) 660-2914 |
| Full Name | Riad K. Mortada, Md, Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 420 Main St, Walpole, Massachusetts |
| Authorized Official Name and Position | Riad K Mordata (PRESIDENT) |
| Authorized Official Contact | 5086602241 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Riad K. Mortada, Md, Pc 420 Main St Ste # 14 Walpole MA 02081-3753 Ph: (508) 660-2241 | Riad K. Mortada, Md, Pc 420 Main St Ste # 14 Walpole MA 02081-3753 Ph: (508) 660-2241 |
| NPI Number | 1629144407 |
|---|---|
| Provider Enumeration Date | 11/25/2006 |
| Last Update Date | 04/20/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629144407 | NPI | - | NPPES |
| 645173 | Other | MA | TUFTS HEALTH PLAN |
| M17091 | Other | MA | BCBS |
| 9784691 | Medicaid | MA | |
| RR34 | Other | MA | HARVARD PILGRIM |
| 04-02110 | Other | MA | UNITED HEALTHCARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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