Individual
RONALD P DEMATTEO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3400 CIVIC CENTER BLVD, PHILADELPHIA, PA 19104-5127
(215) 662-2626
(215) 614-0244
Mailing address
3400 CIVIC CENTER BLVD, PHILADELPHIA, PA 19104-5127
(215) 662-2626
(215) 614-0244
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
207176
NY
208600000X
Surgery Physician
Primary
MD049705L
PA
Other
Enumeration date
11/18/2005
Last updated
10/23/2019
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