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Individual

DR. CARL J MATTIA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.P.M.

Contact information

Practice address
301 OXFORD VALLEY RD, SUITE 904 A & B, YARDLEY, PA 19067-7706
(215) 321-1200
(215) 321-6100
Mailing address
638 NEWTOWN YARDLEY RD, STE 1H, NEWTOWN, PA 18940-1738
(215) 794-7553
(215) 794-5379

Taxonomy

Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
SC004374L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0017888350005
PA
Enumeration date
06/28/2005
Last updated
07/30/2018
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