NICHOLAS MATA

ANNAPOLIS, MD
NPI1750736658
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy208100000X Physical Medicine & Rehabilitation
(Licence: MD  D90988)
Additional Taxonomies2081P2900X Physical Medicine & Rehabilitation, Pain Medicine
(Licence: MD  D90988)
Enumeration Date2016-04-28
Last Update Date2021-08-03
Business Address
NICHOLAS MATA MD
166 DEFENSE HWY STE 300
ANNAPOLIS, MD 21401-8926
Phone number: 443-808-1808
Mailing Address
NICHOLAS MATA MD
166 DEFENSE HWY STE 300
ANNAPOLIS, MD 21401-8926
Phone number: 443-808-1808
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