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Individual

XIMENA MATAMALA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.,

Contact information

Practice address
10 UNION SQ E, NEW YORK, NY 10003-3314
(212) 256-3539
Mailing address
PO BOX 95000-2428, PHILA, PA 19195-2428
(212) 256-3539

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
240793
NY

Other

Enumeration date
08/16/2006
Last updated
02/23/2021
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