Doctor Name: | MS. SUSAN MATTIO |
NPI Number: | 1457567984 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MPT |
License Number: | RN573544 |
Business Practice Address: | 1390 Camp Hill Rd Dresher, PA - 19043 |
Business Phone Number: | 2156430600 |
Business Fax Number: | 2156410628 |
Mailing Address: | 52 Woodbine Rd, HAVERTOWN |
State: | PA |
Postal Code: | 190834426 |
Phone Number: | 6098416490 |
Fax Number: | |
NPI Enumeration Date: | 05/14/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WX0200X |
License Number: | RN573544 |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | PA |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Oncology |
Taxonomy Definition: |