Individual
MR. MATTHEW PEARSON BUNDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1 GUSTAVE L LEVY PL, DEPT OF GENERAL MEDICINE BOX 1087, NEW YORK, NY 10029-6500
(212) 241-5454
Mailing address
27 47TH ST, WEEHAWKEN, NJ 07086-7103
(704) 206-9569
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
012843
NY
Other
Enumeration date
10/02/2008
Last updated
10/02/2008
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