Individual
DR. MICHAEL J PREMATTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
400 W TOWNSHIP LINE RD, HAVERTOWN, PA 19083-5210
(610) 789-1313
(610) 789-0655
Mailing address
400 W TOWNSHIP LINE RD, HAVERTOWN, PA 19083-5210
(610) 789-1313
(610) 789-0655
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
MD439200
PA
207R00000X
Internal Medicine Physician
MD439200
PA
Other
Enumeration date
05/08/2007
Last updated
07/21/2022
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