Individual
DR. ANTHONY A. MATALAVAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
2500 METROHEALTH DR, CLEVELAND, OH 44109-1900
(216) 778-7800
Mailing address
2500 METROHEALTH DR, CLEVELAND, OH 44109-1900
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
36002679
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0979008
—
OH
Enumeration date
08/24/2006
Last updated
12/27/2021
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