Individual provider · Type 1 NPI

Christopher Mattiello, DO

Student in an Organized Health Care Education/Training Program · Philadelphia, PA

NPI number 1902541402 Active

Practice location

117 S 11th St
Philadelphia, PA 19107-4949

Call (215) 503-3876 Map

Fax (215) 955-2519

Mailing address

590 Lower Landing Rd Apt 24F
Blackwood, NJ 08012-4226

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1902541402

Christopher Mattiello, DO's National Provider Identifier is 1902541402, issued on Apr 29, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Philadelphia, PA. The record was last updated on Apr 29, 2022.