MR. ROLANDO MATA, IDC
Physician Assistant - Medical
Active
Individual
NPI: 1538379276
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physician Assistant - Medical | 363AM0700X | Yes | - |
Frequently Asked Questions
NPI 1538379276 is the National Provider Identifier for MR. ROLANDO MATA, IDC, a Physician Assistant - Medical provider located in Suffolk, VA. This NPI was enumerated on May 23, 2007.
MR. ROLANDO MATA, IDC practices at 4007 BROOKLINE DR, Suffolk, VA 23434.
Quick Facts
- NPI
- 1538379276
- Type
- Individual
- Enumerated
- May 23, 2007
- Last Updated
- Jul 8, 2007
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