Matta, Stephen

Matta, Stephen is an individual health care provider with primary practice located at 441 Lyceum Ave , Philadelphia PA 19128-3418. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Matta, Stephen can be contacted via phone (267) 314-7555.

Contact Information

Primary practice address
441 Lyceum Ave Philadelphia PA 19128-3418
Phone: (267) 314-7555
Fax: (267) 314-7555
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X OS-014889 Pennsylvania
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X OS014889 Pennsylvania

Profile Details

NPI number 1568783009
LBN Legal business name Matta, Stephen
Credentials D.O., M.B.A.
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 18th, 2010
Last updated Feb 13th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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