Provider Demographics
NPI:1619542172
Name:MATABANG, MARIA ANGELA MILAOR (MD)
Entity Type:Individual
Prefix:MS
First Name:MARIA ANGELA
Middle Name:MILAOR
Last Name:MATABANG
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:234 E 149TH STREET
Mailing Address - Street 2:LINCOLN MEDICAL CENTER, DEPARTMENT OF INTERNAL MEDICINE
Mailing Address - City:BRONX, NEW YORK CITY
Mailing Address - State:NY
Mailing Address - Zip Code:10451
Mailing Address - Country:US
Mailing Address - Phone:718-579-4719
Mailing Address - Fax:
Practice Address - Street 1:234 E 149TH STREET
Practice Address - Street 2:LINCOLN MEDICAL CENTER, DEPARTMENT OF INTERNAL MEDICINE
Practice Address - City:BRONX, NEW YORK CITY
Practice Address - State:NY
Practice Address - Zip Code:10451
Practice Address - Country:US
Practice Address - Phone:718-579-4719
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-05-26
Last Update Date:2022-11-29
Deactivation Date:2022-11-23
Deactivation Code:
Reactivation Date:2022-11-29
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program