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Individual
DR. MATTHEW REILLY ESTILL
Active
Individual
DR. MATTHEW REILLY ESTILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
202366-1
NY
207R00000X
Internal Medicine Physician
MD058404L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0015707040001
—
PA
05
—
01636502
—
NY
01
—
110209191
RR MEDICARE PIN
NY
01
—
CC8362
RR MEDICARE GROUP
NY
01
—
GU039812
MEDICARE GROUP
PA
Enumeration date
02/21/2006
Last updated
03/09/2021
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