Individual
MR. MARCUS B MATADI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
A.A.
Contact information
Practice address
112 N BROAD ST, RM 821, PHILADELPHIA, PA 19102-1512
(215) 568-0860
(215) 568-0769
Mailing address
1762 S 65TH ST, PHILADELPHIA, PA 19142-1324
(267) 979-0587
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
05/06/2009
Last updated
05/06/2009
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