Jericho De Mata D.O.

  • NPI 1275950396
According to our database, the NPI number for Jericho De Mata D.O. is 1275950396 and activated since 10 years ago. Jericho De Mata D.O. is an individual provider who specializes in Family Medicine, and the primary practice location is 1221 Mercantile Ln, Upper Marlboro, MD 20774. You can also contact Jericho De Mata D.O. via telephone number is (301) 618-5500. Provider NPI information was last updated on 06/20/2021.

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Overview of Jericho De Mata D.O.

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 03/26/2014
  • Last updated: 06/20/2021

Primary Scrop of Practice

  • Taxonomy Code: 207Q00000X
  • Specialty: Family Medicine
  • License Number: H83783
  • License State: MD

Provider Mailing Address

  • Address: 2101 E Jefferson St Ste 6w
    Rockville, MD 20852
  • Phone: 301-816-5853
  • Fax:

Provider Practice Location

  • Address: 1221 Mercantile Ln
    Upper Marlboro, MD 20774
  • Phone: 301-618-5500
  • Fax:

Scope of Practice

  • Taxonomy Code: 207Q00000X
  • Specialty: Family Medicine
  • License Number: H83783
  • License State: MD
  • Switch: Yes

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Jericho De Mata D.O.?
  • A: The npi number for Jericho De Mata D.O. is 1275950396.
  • Q: What are Jericho De Mata D.O.'s specialties?
  • A: Jericho De Mata D.O.'s specialties are Family Medicine and different specialities.
  • Q: What is the medical license for Jericho De Mata D.O.?
  • A: The medical license number for Jericho De Mata D.O. is H83783 and issued in MD in USA.
  • Q: Where is Jericho De Mata D.O. practice location?
  • A: Jericho De Mata D.O. is practicing at 1221 Mercantile Ln, Upper Marlboro, MD 20774.
  • Q: How to contact Jericho De Mata D.O.?
  • A: You can contact Jericho De Mata D.O. via 301-618-5500.
Medicare Specialty
View all Specialties
Addiction Medicine
Clinical Pharmacology
Family Medicine
Dental Assistant
Dental Public Health
Optometrist
Occupational Health
Sports Physician
Mental Health
Physical Therapist
Pharmacy Technician
Medical Technologist
Ph.D. Medical Genetics
Military Health Care Provider
Clinical Nurse Specialist
Family Health
Nurse Massage Therapist
Sports Medicine
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