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Individual
DR. ROMAN W MATLAGA
Active
Individual
DR. ROMAN W MATLAGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
OS008779L
PA
207R00000X
Internal Medicine Physician
Primary
OS008779L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001539491
—
PA
01
—
785660
BLUE SHIELD
PA
01
—
814113
FIRST PRIORITY HEALTH
PA
Enumeration date
09/12/2005
Last updated
04/28/2025
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