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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

THOR MATAYA, CPOA

Active Sole Proprietor

THOR MATAYA, CPOA is a Specialist/Technologist, Surgical healthcare provider located in TREVOSE, Pennsylvania. NPI 1700240470 is currently active in the NPPES registry. Verify at CMS.

Specialist/Technologist, Surgical · TREVOSE, PA

Registration Details

NPI Number
1700240470
Provider Type
Individual
Gender
Male
NPI Issued
Apr 8, 2016 (10.372528228661 yrs)
Last Updated
Apr 8, 2016
License
45AB00000400 (NJ)
Sole Proprietor
Yes

Practice Information

Address
2612 LINCONIA AVE
TREVOSE, PA, 190536736
Browse PA providers · Browse ZIP 19053
Phone
2679807415
Fax
2156382119
Primary Specialty
Specialist/Technologist, Surgical
246Z00000X

Other Specialist/Technologist, Surgical Providers in TREVOSE, PA

Name Credential NPI
MATTHEW DAVID ZEFFERT 1497237663
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.