Individual
MISS ELIZABETH MATLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3300 TILLMAN DR, SUITE 100, BENSALEM, PA 19020-2030
(215) 633-3456
(215) 245-5941
Mailing address
3300 TILLMAN DR, SUITE 100, BENSALEM, PA 19020-2030
(215) 633-3456
(215) 245-5941
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
MA000538L
PA
Other
Enumeration date
06/12/2008
Last updated
06/12/2008
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