HomeNPI Verification

NPI Verification

National Provider Identifier: 1275950396

Jericho De Mata, D.o.

Individual Provider

Credentials

D.O.

Primary Specialty

Family Medicine

Code: 207Q00000X

All Specialties (3)

Family Medicine

Code: 207Q00000X

Family Medicine

Code: 207Q00000X

Family Medicine

Code: 207Q00000X

Primary

Practice Address

1221 MERCANTILE LN

UPPER MARLBORO, MD 207745374

Phone: 301-618-5500

NPI Enumeration Date

March 26, 2014

NPI Number

1275950396

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry