Individual
DR. MATTHEW MIKHAIL BOELIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MT197442
PA
2086S0120X
Pediatric Surgery Physician
25MA10642700
NJ
2086S0120X
Pediatric Surgery Physician
MT197442
PA
Other
Enumeration date
07/21/2009
Last updated
11/06/2019
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