Thor Mataya, CPOA
Thor Mataya, CPOA is an Other Specialist/Technologist in Trevose, Pennsylvania. Practices as a sole proprietor. Licensed in New Jersey.
- Licensed in
- NJ
- In the registry since
- 2016
Practice location Address checks out
2612 Linconia AveTrevose, PA 19053-6736
Phone: (267) 980-7415
Fax: (215) 638-2119
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Other Specialist/Technologist (primary) | Taxonomy 246Z00000X · Licence 45AB00000400 (NJ) |
|---|
Record details
| NPI number | 1700240470 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | CPOA |
| Sole proprietor | Yes |
| NPI enumerated | April 8, 2016 |
| Last updated in NPPES | April 8, 2016 |
| Mailing address | 2612 Linconia Ave, Trevose, PA 19053-6736 |
Other providers in Trevose
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Matthew David Zeffert
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