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Individual
MATTHEW KORNSWIET
Active
Individual
MATTHEW KORNSWIET
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
20A17197
CA
2080S0010X
Pediatric Sports Medicine Physician
20A17197
CA
Other
Enumeration date
04/06/2015
Last updated
06/19/2019
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