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Individual

MATTHEW JOSEPH MAIDA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
1100 MEADE ST, DUNMORE, PA 18512-3169
(570) 342-3675
(570) 496-6417
Mailing address
1100 MEADE ST, DUNMORE, PA 18512-3169
(570) 342-3675
(570) 496-6417

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
MA051016
PA
363AM0700X
Medical Physician Assistant
Primary
MA051016
PA

Other

Enumeration date
02/03/2007
Last updated
11/07/2012
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