Individual
DR. MARK AYAD MATTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2616 WILMINGTON RD, SUITE A, NEW CASTLE, PA 16105-1504
(724) 652-2323
(724) 654-3461
Mailing address
2616 WILMINGTON RD, SUITE A, NEW CASTLE, PA 16105-1504
(724) 652-2323
(724) 654-3461
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
05013244
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1020636200001
—
PA
01
—
1984587
BCBS
PA
Enumeration date
09/05/2007
Last updated
12/04/2012
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