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Individual

AJSZA MATELA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1 WEBSTER AVE STE 202, POUGHKEEPSIE, NY 12601-1362
(845) 490-9212
Mailing address
1 WEBSTER AVE STE 202, POUGHKEEPSIE, NY 12601-1362
(845) 490-9212
(845) 483-5790

Taxonomy

Speciality
Code
Description
License number
State
207RA0201X
Allergy & Immunology (Internal Medicine) Physician
MD470613
PA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
273441
NY
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
MD470613
PA
207RP1001X
Pulmonary Disease Physician
Primary
273441
NY
207RP1001X
Pulmonary Disease Physician
MD470613
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
NA
NA
NY
Enumeration date
01/30/2013
Last updated
07/07/2022
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