| Doctor Name: | DR. CARL J MATTIA |
| NPI Number: | 1073519633 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | D.P.M. |
| License Number: | SC004374L |
| Business Practice Address: | 301 Oxford Valley Rd Suite 904 A & B Yardley, PA - 190677706 |
| Business Phone Number: | 2153211200 |
| Business Fax Number: | 2153216100 |
| Mailing Address: | 2139 Brookshire Rd, FURLONG |
| State: | PA |
| Postal Code: | 189251253 |
| Phone Number: | 2157947553 |
| Fax Number: | 2157945379 |
| NPI Enumeration Date: | 06/28/2005 |
| NPI Last Update Date: | 04/16/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213EP1101X |
| License Number: | SC004374L |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Primary Podiatric Medicine |
| Taxonomy Definition: | |