Matlaga, Roman W

Matlaga, Roman W is an individual health care provider with primary practice located at 300 Lackawanna Ave Ste 200 , Scranton PA 18503-2001. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Matlaga, Roman W can be contacted via phone (570) 800-7515.

Contact Information

Primary practice address
300 Lackawanna Ave Ste 200 Scranton PA 18503-2001
Phone: (570) 800-7515
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X OS008779L Pennsylvania
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X OS008779L Pennsylvania

Profile Details

NPI number 1881688315
LBN Legal business name Matlaga, Roman W
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 12th, 2005
Last updated Dec 29th, 2023 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1881688315 NPPES
Pennsylvania Other 814113 FIRST PRIORITY HEALTH
Pennsylvania Other 785660 FIRST PRIORITY HEALTH
Pennsylvania MEDICAID 001539491 FIRST PRIORITY HEALTH

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