MR. Matthew Staub, MS, ATC, CSCS, PA

NPI #1508134784 in East Berlin, Pennsylvania

Provider Information

NPI Number: 1508134784
Entity Type: Individual
Name: MR. Matthew Staub, MS, ATC, CSCS, PA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: MS, ATC, CSCS, PA
Enumeration Date: Dec 2, 2011
Last Updated: Jul 15, 2021

Practice Location

Address: 105 4TH ST
City: East Berlin
State: Pennsylvania
ZIP Code: 17316-9638
Phone: (717) 812-4900

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist/Technologist - Athletic Trainer — Athletic Trainer	2255A2300X
Physician Assistant	363A00000X	Primary

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