Individual
CHRISTOPHER ROBERT MATTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3401 N BROAD ST, PHILADELPHIA, PA 19140-5189
(215) 707-5303
Mailing address
126 CONARROE ST APT X, PHILADELPHIA, PA 19127-1327
(609) 290-1295
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
MT225948
PA
Other
Enumeration date
06/02/2022
Last updated
06/02/2022
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