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Individual
MARIE DIMATTIA
Active
Individual
MARIE DIMATTIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
3111
WV
207R00000X
Internal Medicine Physician
Primary
OS017939
PA
207R00000X
Internal Medicine Physician
OT-015385
PA
207RC0000X
Cardiovascular Disease Physician
OS017939
PA
Other
Enumeration date
05/31/2013
Last updated
12/13/2018
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