Organization
INTERNAL MEDICINE OF BARBERTON, TERESA MATTY, M.D., INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TERESA MARIA MATTY M.D. (OWNER PRACTITIONER)
(330) 745-4188
Entity
Organization
Contact information
Practice address
101 5TH ST SE STE B, BARBERTON, OH 44203-4225
(330) 745-4188
(330) 745-9244
Mailing address
101 5TH ST SE STE B, BARBERTON, OH 44203-4225
(330) 745-4188
(330) 745-9244
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
037175
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0346290
—
OH
01
—
MA0412372
MEDICARE ID TYPE UNSPECIFIED
OH
Enumeration date
09/19/2008
Last updated
09/19/2008
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