Mattia, Carl J

Mattia, Carl J is an sole proprietor health care provider with primary practice located at 301 Oxford Valley Rd Suite 904 A & B, Yardley PA 19067-7706. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine, which is considered as his primary health care specialty. Mattia, Carl J can be contacted via phone (215) 321-1200.

Contact Information

Primary practice address
301 Oxford Valley Rd Suite 904 A & B Yardley PA 19067-7706
Phone: (215) 321-1200
Fax: (215) 321-6100
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine 213EP1101X SC004374L Pennsylvania

Profile Details

NPI number 1073519633
LBN Legal business name Mattia, Carl J
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 28th, 2005
Last updated Jul 30th, 2018 - about 6 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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Identifiers

StateTypeNumberIssuer
All States NPI 1073519633 NPPES
Pennsylvania MEDICAID 0017888350005

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