STEPHEN MATTA (Credential# 1352246) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is February 1, 2020. The license expiration date date is January 31, 2021. The license status is ACTIVE.
STEPHEN MATTA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.055865-DO. The credential type is physician/surgeon. The effective date is February 1, 2020. The expiration date is January 31, 2021. The business address is 3956 Terrace St, Philadelphia, PA 19128-5227. The current status is active.
| Licensee Name | STEPHEN MATTA |
| Credential ID | 1352246 |
| Credential Number | 1.055865-DO |
| Credential Type | Physician/Surgeon |
| Credential SubCategory | DO |
| Business Address |
3956 Terrace St Philadelphia PA 19128-5227 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2016-10-25 |
| Effective Date | 2020-02-01 |
| Expiration Date | 2021-01-31 |
| Refresh Date | 2020-01-09 |
| Street Address | 3956 Terrace St |
| City | Philadelphia |
| State | PA |
| Zip Code | 19128-5227 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Linda A Terek | 4005 Mitchell St, Philadelphia, PA 19128 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Christopher J Hall | 625 Wigard Ave, Philadelphia, PA 19128 | Temporary Certified General Real Estate Appraiser | 2019-02-22 ~ 2020-02-22 |
| Thomas Vitagliano | 3721 Manayunk Avenue, Philadelphia, PA 19128 | Pharmacist | 2018-02-01 ~ 2020-01-31 |
| Julianna Jean Mccollick | 7705 Keiffer Street, Philadelphia, PA 19128 | Registered Nurse | 2019-05-31 ~ 2019-10-31 |
| Hang Thu Nguyen | 214 Grape St, Philadelphia, PA 19128 | Certified Public Accountant License | 2020-01-01 ~ 2020-12-31 |
| Christopher J Menna | 6431 Lawnton St, Philadelphia, PA 19128 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Theresa C Tierney | 8609 Brierdale Rd, Philadelphia, PA 19128 | Registered Nurse | 2018-06-01 ~ 2019-05-31 |
| Kara L Kosiorowski | 514 Seville Street, Phildelphia, PA 19128 | Master's Level Social Worker | 2019-09-01 ~ 2020-08-31 |
| Mario Zacharjasz | 5312 Ridge Ave, Philadelphia, PA 19128 | Architect | 2019-08-01 ~ 2020-07-31 |
| Kimberly Marie Quigley | 908 Scotia Road, Philadelphia, PA 19128 | Registered Nurse | 2018-06-12 ~ 2018-12-31 |
| Find all Licenses in zip 19128 | |||
| City | Philadelphia |
| Zip Code | 19128 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + Philadelphia |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Ayman Z Matta | 99 Dutch Hill Rd, Orangeburg, NY 10962-2185 | Physician/surgeon | ~ |
| Yesu Kumar Matta | 54 Borden Ave Apt A16, Norwich, NY 13815-1176 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Matta Realtors LLC | 1783 Meriden-waterbury Rd, Milldale, CT 06467 | Real Estate Broker | 2004-05-06 ~ 2005-03-31 |
| Bhavna Matta | 24 Hospital Avenue, Danbury, CT 06810 | Resident Physician | 2018-12-15 ~ 2021-12-14 |
| Stephen Andreoni | 162 Bay Ave, Halesite, NY 11743 | Physician/surgeon | 2016-11-30 ~ 2017-08-31 |
| Stephen L Curry | Po Box 491, Litchfield, CT 06759 | Physician/surgeon | 2004-06-18 ~ 2005-08-31 |
| Stephen Carragher | 410 Capitol Ave, Hartford, CT 06134 | Physician/surgeon | ~ |
| Stephen A Moe | Po Box 2236, New Haven, CT 06520 | Physician/surgeon | 1993-01-25 ~ 1994-01-31 |
| Stephen T. Moran | 20 E 22nd St, New York, NY 10010-6101 | Physician/surgeon | ~ |
| J. Stephen Roy | 7a Ludlow Rd, Westport, CT 06880-3043 | Physician/surgeon | 2019-09-01 ~ 2020-08-31 |
Please comment or provide details below to improve the information on STEPHEN MATTA.
| Data Provider | Connecticut Department of Consumer Protection |
| Jurisdiction | Connecticut |
| Related Datasets | Connecticut Business Registrations, Connecticut Child Care Facilities |
This dataset includes 1.41 million licenses issued wtih Connecticut Department of Consumer Protection (TDLR).