Individual
EBEN DE MATTEO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
9250 BLUE ASH RD, BLUE ASH, OH 45242-6822
(513) 792-7445
(513) 791-4042
Mailing address
9250 BLUE ASH RD, BLUE ASH, OH 45242-6822
(513) 792-7445
(513) 791-4042
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.005207RX
OH
Other
Enumeration date
09/14/2017
Last updated
04/16/2026
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