Provider Demographics
NPI:1699936823
Name:MATTE, GENEVIEVE (MD)
Entity type:Individual
Prefix:DR
First Name:GENEVIEVE
Middle Name:
Last Name:MATTE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5755 17TH AVENUE
Mailing Address - Street 2:
Mailing Address - City:MONTREAL
Mailing Address - State:QUEBEC
Mailing Address - Zip Code:H1X2R7
Mailing Address - Country:CA
Mailing Address - Phone:514-593-9988
Mailing Address - Fax:514-412-7711
Practice Address - Street 1:9500 EUCLID AVENUE
Practice Address - Street 2:NA23 CLEVELAND CLINIC FOUNDATION
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44195
Practice Address - Country:US
Practice Address - Phone:216-444-5691
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-06-20
Last Update Date:2008-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program