Matozzo, Marc A

Matozzo, Marc A is an individual health care provider with primary practice located at 1028 W Oregon Ave , Philadelphia PA 19148-4421. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Matozzo, Marc A can be contacted via phone (215) 389-7766.

Contact Information

Primary practice address
1028 W Oregon Ave Philadelphia PA 19148-4421
Phone: (215) 389-7766
Fax: (215) 389-0227
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X OS009571L Pennsylvania

Profile Details

NPI number 1437156098
LBN Legal business name Matozzo, Marc A
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 28th, 2005
Last updated Jul 15th, 2021 - about 5 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 1437156098 NPPES
Pennsylvania MEDICAID 00172908400001

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