Individual
MRS. FIRDAUSI MATAWALLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1824 GOOD HOPE RD, ENOLA, PA 17025-1233
(717) 732-8877
(717) 732-9241
Mailing address
1824 GOOD HOPE RD, ENOLA, PA 17025-1233
(717) 732-8877
(717) 732-9241
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD481284
PA
Other
Enumeration date
06/02/2020
Last updated
12/06/2024
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