# DR. MATTHEW T CADDELL

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1407874019
- **Gender:** Man
- **Credential:** D.O.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | C2-0023888 | DE | Yes |
| 2083P0500X | Preventive Medicine/Occupational Environmental Medicine Physician | 218076 | NY | — |
| 2083X0100X | Occupational Medicine Physician | 218076-1 | NY | — |

## Other

- **Enumeration date:** 07/18/2006
- **Last updated:** 04/07/2022