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Contact Information

JOSEPH S MATARESE, PA-C
301 HAWTHORNE LANE
SUITE 200
CONCORD, NC28004
 Phone: 704-316-5100
 Fax: 704-316-5101
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
 

Surgical

363AS0400X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for JOSEPH S MATARESE · (Male)

NPI # 1942305446
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 09/13/2006
Last updated 11/27/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • MA License # 1287
  • NC License # 0010-01142
  • NC Medicaid 1942305446
Hospital affiliation(s)
  • PRESBYTERIAN HOSPITAL - (Acute Care)
    200 HAWTHORNE LANE BOX 33549
    CHARLOTTE, NC 28233
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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