Dr JERICHO M DE MATA is a male medical professional, specializing in Emergency Medicine. He graduated in 2014.
KAISER FOUNDATION HEALTH PLAN OF THE MID-ATLANTIC STATES INC
1221 MERCANTILE LN
LARGO
MD
207745374
Tel: 3016185700
| Npi | 1275950396 |
| Pac Id | 3971879958 |
| Professional Enrollment Id | I20171018002053 |
| Last Name | DE MATA |
| First Name | JERICHO |
| Middle Name | M |
| Suffix | |
| Gender | M |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 2014 |
| Primary Specialty | EMERGENCY MEDICINE |
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| Organization Legal Name | KAISER FOUNDATION HEALTH PLAN OF THE MID-ATLANTIC STATES INC |
| Group Practice Pac Id | 3779495858 |
| Number Of Group Practice Members | 1644 |
| Line 1 Street Address | 1221 MERCANTILE LN |
| Line 2 Street Address | |
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| City | LARGO |
| State | MD |
| Zip Code | 207745374 |
| Phone Number | 3016185700 |
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| Professional Accepts Medicare Assignment | Y |
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