Individual
MATTHEW PAUL TONIATTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1 KACEY CT, SUITE 101, MECHANICSBURG, PA 17055-9223
(717) 591-0961
(717) 591-0980
Mailing address
155 E BENNETT ST, KINGSTON, PA 18704-4940
(570) 283-5611
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA002957L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
198927ZA9K
MEDICARE PTAN
PA
Enumeration date
02/10/2007
Last updated
03/20/2018
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