Matta, Yesu

Matta, Yesu is an sole proprietor health care provider with primary practice located at 675 Main Street , Middletown CT 06457-0645. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Matta, Yesu can be contacted via phone (860) 347-6971.

Contact Information

Primary practice address
675 Main Street Middletown CT 06457-0645
Phone: (860) 347-6971
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 64545 Connecticut

Profile Details

NPI number 1851648471
LBN Legal business name Matta, Yesu
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 14th, 2012
Last updated Jan 22nd, 2020 - about 4 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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