Individual
ERNESTO MATOS TASE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
802 NEW HOLLAND AVE STE 200, LANCASTER, PA 17602-2288
(717) 299-6371
Mailing address
3132 CORNERSTONE DR, LANCASTER, PA 17603-9466
(305) 898-4082
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP033011
PA
Other
Enumeration date
06/04/2025
Last updated
06/04/2025
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