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Individual

ROBERT ALLEN MATLIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
227 GRANITE RUN DR, SUITE 110, LANCASTER, PA 17601-6813
(717) 560-5156
(717) 560-5165
Mailing address
227 GRANITE RUN DR, SUITE 110, LANCASTER, PA 17601-6813
(717) 560-5156
(717) 560-5165

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD017545E
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0007491530006
PA
Enumeration date
09/25/2006
Last updated
11/04/2015
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