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Individual

MS. ELIZABETH A. MATRAY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
P.A.-C.

Contact information

Practice address
3998 RED LION RD, ARIA HEALTH - TORRESDALE CAMPUS, PHILADELPHIA, PA 19114-1445
(215) 612-4000
Mailing address
PO BOX 8500-6335, PHILADELPHIA, PA 19178-6335
(215) 612-4000

Taxonomy

Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
MA000671L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
970003993
RAILROAD MEDICARE
PA
01
PA0031259
TRICARE
PA
Enumeration date
11/07/2006
Last updated
12/30/2011
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