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Individual
DR. ELIAS N MATTA
Active
Individual
DR. ELIAS N MATTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
25MA09039000
NJ
208000000X
Pediatrics Physician
ME122561
FL
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
25MA09039000
NJ
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
ME122561
FL
Other
Enumeration date
05/15/2012
Last updated
02/03/2021
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