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Individual
MATTHEW PHILLIPS
Active
Individual
MATTHEW PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CP
Taxonomy
Speciality
Code
Description
License number
State
224P00000X
Prosthetist
Primary
45PR00004000
NJ
224P00000X
Prosthetist
—
—
Other
Enumeration date
08/30/2021
Last updated
08/30/2021
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