| Internal Medicine Of Barberton, Teresa Matty, M.d., Inc | |
|
101 5th St Se Ste B Barberton OH 44203-4225 | |
| (330) 745-4188 | |
| (330) 745-9244 |
| Full Name | Internal Medicine Of Barberton, Teresa Matty, M.d., Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 101 5th St Se Ste B, Barberton, Ohio |
| Authorized Official Name and Position | Teresa Maria Matty (OWNER PRACTITIONER) |
| Authorized Official Contact | 3307454188 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Internal Medicine Of Barberton, Teresa Matty, M.d., Inc 101 5th St Se Ste B Barberton OH 44203-4225 Ph: (330) 745-4188 | Internal Medicine Of Barberton, Teresa Matty, M.d., Inc 101 5th St Se Ste B Barberton OH 44203-4225 Ph: (330) 745-4188 |
| NPI Number | 1083864672 |
|---|---|
| Provider Enumeration Date | 09/19/2008 |
| Last Update Date | 09/19/2008 |
| Medicare PECOS PAC ID | 8628130085 |
|---|---|
| Medicare Enrollment ID | O20081218000168 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083864672 | NPI | - | NPPES |
| 0346290 | Medicaid | OH | |
| MA0412372 | Other | OH | MEDICARE ID TYPE UNSPECIFIED |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 037175 (Ohio) | Primary |
| Provider Name | Teresa M Matty |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255409884 PECOS PAC ID: 9739241290 Enrollment ID: I20081218000147 |
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