Individual
DR. MATTHEW J MALTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D0051819
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001
BCBS
—
01
—
08344
AMERIGROUP
—
01
—
201230000
FEDERAL WORKMANS COMP
—
01
—
33305
KAISER
—
05
—
483902100
—
MD
01
—
54684902
BCBS
—
01
—
5994553
AETNA
—
01
—
998491
AETNA HMO
—
Enumeration date
10/19/2005
Last updated
11/30/2015
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