Search › Pennsylvania › 246Z00000X
Thor Mataya, CPOA
NPI 1700240470 · on the registry since 2016 · sole proprietor
Practice
- Address
- 2612 Linconia Ave
Trevose, PA 19053 - Phone
- (267) 980-7415
- Fax
- (215) 638-2119
Registry record
- Primary taxonomy
- 246Z00000X
246Z00000X
- Licence states on file
- NJ
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2016-04-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Pennsylvania