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Individual

MR. MATTHEW KAMINSKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNP

Contact information

Practice address
100 E LANCASTER AVE FL 2, WYNNEWOOD, PA 19096-3450
(484) 476-5570
Mailing address
1615 MELROSE AVE, HAVERTOWN, PA 19083-1913
(610) 457-9331

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
SP024464
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
SP024464
ACUTE CARE NURSE PRACTITIONER
PA
Enumeration date
09/29/2021
Last updated
09/29/2021
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