person
Thor Mataya, CPOA
Other Specialist/Technologist in Trevose, Pennsylvania
NPI 1700240470

Thor Mataya is a Other Specialist/Technologist based in Trevose, PA. Thor Mataya practices in Trevose, PA and has the professional credentials of CPOA. The NPI Number for Thor Mataya is 1700240470 and holds a License No. 45AB00000400 (Pennsylvania).

The current practice location address for Thor Mataya is 2612 Linconia Ave, Trevose, PA and can be reached out via phone at 267-980-7415 and via fax at 215-638-2119.

Location: 2612 Linconia Ave, Trevose, PA, 19053-6736
person
Provider Profile Details
NPI Number
1700240470
Provider Name
Thor Mataya
Credential
CPOA
Provider Entity Type
Individual
Gender
Male
Address
2612 Linconia Ave, Trevose, PA, 19053-6736
Phone Number
267-980-7415
Fax Number
215-638-2119
Provider Enumeration Date
04/08/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2612 Linconia Ave
City
State
Zip
19053-6736
Phone Number
267-980-7415
Fax Number
215-638-2119
person
Provider Business Mailing Address Details
Address
2612 Linconia Ave
City
State
Zip
19053-6736
Phone Number
267-980-7415
Fax Number
215-638-2119
person
Provider's Taxonomy Details 1
Type
Technologists, Technicians & Other Technical Service Providers
Classification
Specialist/Technologist, Other
Speciality
-
Taxonomy
License No.
45AB00000400 (New Jersey)
Definition
General classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines.
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