Individual
EMILY WENONA MATLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
4830 LONDONDERRY RD, HARRISBURG, PA 17109-5207
(717) 657-2595
(717) 657-3091
Mailing address
7 DOCK HILL RD, MIDDLEBURG, PA 17842-8910
(570) 837-2123
(570) 837-2185
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
OS005996L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0010583820005
—
PA
01
—
788792
MEDICARE
PA
Enumeration date
03/28/2006
Last updated
04/26/2022
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