Individual
MARIA MATTIOLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
111 S 11TH ST, PHILADELPHIA, PA 19107-4824
(215) 955-6000
Mailing address
PO BOX 191, ROCKLAND, DE 19732-0191
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP021395
PA
Other
Enumeration date
04/17/2020
Last updated
12/22/2020
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