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Individual

DR. MATTHEW GRUNEWALD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD, PHD

Contact information

Practice address
3401 CIVIC CENTER BLVD, PHILADELPHIA, PA 19104-4319
(215) 590-2547
Mailing address
1 CHILDRENS PL STE 3S34, SAINT LOUIS, MO 63110-1002

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
2021021893
MO
2080P0216X
Pediatric Rheumatology Physician
Primary
MT230681
PA

Other

Enumeration date
06/25/2021
Last updated
06/11/2024
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