| Cathleen Ditton Mattos, DC | |
|
8 Fox Run Lane, East Stroudsburg, PA 18301 | |
| (570) 223-1650 | |
| (570) 223-8235 |
| Full Name | Cathleen Ditton Mattos |
|---|---|
| Gender | Female |
| Speciality | Chiropractor |
| Location | 8 Fox Run Lane, East Stroudsburg, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962519173 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | DC-006904-R (Pennsylvania) | Primary |
| Provider Name | Lisa Pathak Md Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1841431418 PECOS PAC ID: 8527111087 Enrollment ID: O20090730000324 |
| Mailing Address | Practice Location Address |
|---|---|
| Cathleen Ditton Mattos, DC 8 Fox Run Lane, East Stroudsburg, PA 18301 Ph: (570) 223-1650 | Cathleen Ditton Mattos, DC 8 Fox Run Lane, East Stroudsburg, PA 18301 Ph: (570) 223-1650 |
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