JATIN R MATTA

LARGO, MD
NPI1316232135
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: MD  C0002229)
Additional Taxonomies363A00000X Physician Assistant
(Licence: DC  PA30146)
Enumeration Date2011-06-09
Last Update Date2011-06-09
Business Address
Mr. JATIN R MATTA PA-C, MPAS
1450 MERCANTILE LN SUITE 217
LARGO, MD 20774-5376
Phone number: 301-583-7770
Mailing Address
Mr. JATIN R MATTA PA-C, MPAS
16831 HARBOUR TOWN DR
SILVER SPRING, MD 20905-4021
Phone number: 301-476-9226
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