Individual
DR. HARRY J MATTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
111 S FRONT ST, HARRISBURG, PA 17101-2010
(717) 782-3380
Mailing address
307 S FRONT ST, FIRST FLOOR, HARRISBURG, PA 17104-1621
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
OS003326L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000160562
HIGHMARK BS
PA
05
—
0006722360002
—
PA
05
—
0006722360003
—
PA
01
—
144139
UNISON
PA
01
—
1514807
GATEWAY
PA
01
—
300024888
KEYSTONE MERCY
PA
01
—
34659
GEISINGER
PA
01
—
50010130
CAPITAL BC
PA
Enumeration date
08/31/2006
Last updated
08/04/2015
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