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Individual

MATHEW A VAN DEUSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
575 COAL VALLEY RD STE 504, CLAIRTON, PA 15025-3729
(412) 359-6137
(412) 359-4334
Mailing address
4 ALLEGHENY CTR FL 7, PITTSBURGH, PA 15212-5227
(412) 330-2510
(412) 330-5844

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
MD420804
PA
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
MD420804
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1019385410001
PA
05
2750698
OH
05
3810009106
WV
Enumeration date
04/09/2007
Last updated
04/04/2025
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