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Individual
DR. HARRY J MATTA
Active
Individual
DR. HARRY J MATTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
OS003326L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000160562
HIGHMARK BS
PA
05
—
0006722360002
—
PA
05
—
0006722360003
—
PA
01
—
144139
UNISON
PA
01
—
1514807
GATEWAY
PA
01
—
300024888
KEYSTONE MERCY
PA
01
—
34659
GEISINGER
PA
01
—
50010130
CAPITAL BC
PA
Enumeration date
08/31/2006
Last updated
08/04/2015
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