Individual
SYDNEY ISABELLA MATA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
450 BROOKLINE AVE, BOSTON, MA 02215-5450
(617) 632-3000
Mailing address
9740 GLENHOPE RD, PHILADELPHIA, PA 19115-2923
(267) 275-4484
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
12/18/2023
Last updated
12/26/2023
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