MEDICARE: CLAUDIA E MATTA PA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant	15467	MN
2	363AM0700X	Medical Physician Assistant	1184	NH

General Provider Information

NPI Number	:	1598210866
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CLAUDIA E MATTA PA

Provider Business Mailing Address
First Line	:	580 COURT ST
Second Line	:
City	:	KEENE
State	:	NH
Zip	:	03431-1729
Country	:	US
Telephone Number	:	603-354-5400
Fax Number	:

Provider Business Practice Location Address
First Line	:	580 COURT ST
Second Line	:
City	:	KEENE
State	:	NH
Zip	:	03431-1729
Country	:	US
Telephone Number	:	603-354-5400
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/16/2016
Last Update Date	:	10/10/2025

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Directions to “ CLAUDIA E MATTA PA” Practice Location

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