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Angela Fay Mata, MD
Pediatrics Physician in Detroit, Michigan
NPI 1366623704

Angela Fay Mata is a Pediatrics Physician based in Detroit, MI. Angela Fay Mata practices in Detroit, MI and has the professional credentials of MD. The NPI Number for Angela Fay Mata is 1366623704 and holds a License No. 4301086164 (Michigan).

The current practice location address for Angela Fay Mata is 22201 Moross Rd Ste 270, Detroit, MI and can be reached out via phone at 313-343-3481 and via fax at 313-343-7937.

Location: 22201 Moross Rd Ste 270, Detroit, MI, 48236-2175
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1366623704
Provider Name
Angela Fay Mata
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
22201 Moross Rd Ste 270, Detroit, MI, 48236-2175
Phone Number
313-343-3481
Fax Number
313-343-7937
Provider Enumeration Date
11/14/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0053325 05 OH
0H208910 01 MI BLUE CROSS GROUP
9761739 01 OH AETNA
07249 01 OH PARAMOUNT
72300 01 OH MERIDIAN
institution
Provider Business Practice Location Address Details
Address
22201 Moross Rd Ste 270
City
Detroit
State
Michigan
Zip
48236-2175
Phone Number
313-343-3481
Fax Number
313-343-7937
person
Provider Business Mailing Address Details
Address
22201 Moross Rd Ste 270
City
Detroit
State
Michigan
Zip
48236-2175
Phone Number
313-343-3481
Fax Number
313-343-7937
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Pediatrics
Speciality
-
Taxonomy
208000000X
License No.
4301086164 (Michigan)
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
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