John A Mattera RPH

NPI 1023301678 - Pharmacist - 183500000X

NPI Details
NPI 1023301678
Gender Male
Enumeration Date 05/16/2011
Last Updated 05/16/2011
Entity Type Individual
Active Over 5 years ago
Practice Location
STATEN ISLAND NY, 10305-4655, US
Phone (718) 447-3117
Business Location
STATEN ISLAND NY, 10305-4710, US
Phone (718) 720-6774
Fax (718) 447-8918
Taxonomy Code 183500000X
License State New York
License Number 30921
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According to our database, Mr. John A Mattera RPH NPI is 1023301678, taxonomy code is 183500000X and license number is 30921, license state is located at New York. John A Mattera RPH physically located at 121 Mcclean Ave, Staten Island NY, 10305-4655. NPI Number John A Mattera RPH has the Individual type.

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1023301678 NPI number is provided on an as is basis without warranty of any kind. 1023301678 is maintained by the National Plan & Provider Enumeration System. The contents of John A Mattera RPH are for informational purposes only.