Individual
NATHAN MALTEZOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
704 W NIELDS ST, WEST CHESTER, PA 19382-4102
(610) 840-2623
(610) 862-6460
Mailing address
704 W NIELDS ST, WEST CHESTER, PA 19382-4102
(610) 840-2623
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
OS020144
PA
208VP0014X
Interventional Pain Medicine Physician
Primary
OS020144
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1037067330004
—
PA
Enumeration date
04/07/2014
Last updated
04/25/2024
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