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Individual
MR. MATTHEW BERNARD GERMOND
Active
Individual
MR. MATTHEW BERNARD GERMOND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X009101-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10064161
CDPHP
—
01
—
3878490001
NSC INDEN #
—
01
—
5898461
GHI
—
01
—
7194094
AETNA
—
01
—
98L1051
LANDMARK AC
—
01
—
C09101-9
WORKERS COMP
—
01
—
NY09101
MVP
—
01
—
X4C66
EMPIRE BC/BS
—
Enumeration date
06/15/2005
Last updated
04/20/2011
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