Matta, Mark Ayad

Matta, Mark Ayad is an sole proprietor health care provider with primary practice located at 2616 Wilmington Rd Suite A, New Castle PA 16105-1504. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Matta, Mark Ayad can be contacted via phone (724) 652-2323.

Contact Information

Primary practice address
2616 Wilmington Rd Suite A New Castle PA 16105-1504
Phone: (724) 652-2323
Fax: (724) 654-3461
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 05013244 Pennsylvania

Profile Details

NPI number 1245424084
LBN Legal business name Matta, Mark Ayad
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 5th, 2007
Last updated Dec 4th, 2012 - about 14 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 1245424084 NPPES
Pennsylvania Other 1984587 BCBS
Pennsylvania MEDICAID 1020636200001 BCBS

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