Individual
CHRISTOPHER MATTIELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
117 S 11TH ST, PHILADELPHIA, PA 19107-4949
(215) 503-3876
(215) 955-2519
Mailing address
590 LOWER LANDING RD APT 24F, BLACKWOOD, NJ 08012-4226
(908) 601-6986
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/29/2022
Last updated
04/29/2022
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