Individual
SUSAN E MATARESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA C
Contact information
Practice address
1200 PEOPLES PLZ, SUITE 1285, NEWARK, DE 19702-5701
(302) 832-0880
(302) 832-1640
Mailing address
2 WINTERCORN CIR, HOCKESSIN, DE 19707-1402
(302) 239-9372
(302) 239-9342
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
C5-0000315
DE
363AM0700X
Medical Physician Assistant
MA002115L
PA
Other
Enumeration date
08/04/2006
Last updated
02/29/2012
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