Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. STEPHEN MATTA, D.O., M.B.A.
ActiveDR. STEPHEN MATTA, D.O., M.B.A. is a Sports Medicine healthcare provider located in PHILADELPHIA, Pennsylvania. NPI 1568783009 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine · PHILADELPHIA, PA
Registration Details
- NPI Number
- 1568783009
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 18, 2010 (16.200662428312 yrs)
- Last Updated
- Feb 13, 2021
- Licenses
-
OS-014889 (PA)OS014889 (PA)
Practice Information
- Address
-
441 LYCEUM AVEPHILADELPHIA, PA, 191283418Browse PA providers · Browse ZIP 19128
- Phone
- 2673147555
- Fax
- 2673147555
- Primary Specialty
-
Sports Medicine
207QS0010X
- Additional Specialty
- Sports Medicine
Other Sports Medicine Providers in PHILADELPHIA, PA
| Name | Credential | NPI |
|---|---|---|
| CHRISTOPHER JON MEHALLO | D.O. | 1730103706 |
| DR. NICOLE OTTO | M.D. | 1306915335 |
| BARRY E KENNEALLY | MD | 1629147558 |
| ROSEMARIE BOEHM | M.D. | 1598837700 |
| DR. JEREMY DAVID CLOSE | M.D. | 1114049566 |
| DR. DANIEL JOSEPH MORRISSY III | D.O. | 1013130020 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.