Individual
MADISON NICOLE MATELLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1080 N DELAWARE AVE STE 800, PHILADELPHIA, PA 19125-4338
(267) 463-5800
Mailing address
1080 N DELAWARE AVE STE 800, PHILADELPHIA, PA 19125-4338
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA065194
PA
Other
Enumeration date
11/27/2023
Last updated
01/14/2026
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