Organization
CARL J. MATTIA, D.P.M., L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARL JOHN MATTIA D.P.M. (MEMBER)
(215) 794-7553
Entity
Organization
Contact information
Practice address
301 OXFORD VALLEY RD, SUITE 904 A, YARDLEY, PA 19067-7706
(215) 370-5267
(215) 794-5379
Mailing address
2139 BROOKSHIRE RD, FURLONG, PA 18925-1253
(215) 794-7553
(215) 794-5379
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
SC-004374-L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DF3882
MEDICARE RRB
PA
Enumeration date
10/31/2006
Last updated
04/16/2009
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