Individual
JOSEPH IGNATIUS MATTHEWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 GUTHRIE SQ, SAYRE, PA 18840-1625
(570) 888-5858
(570) 882-3007
Mailing address
1 GUTHRIE SQ, SAYRE, PA 18840-1625
(570) 888-5858
(570) 882-3007
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
216447-1
NY
207RP1001X
Pulmonary Disease Physician
Primary
MD070030L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0017758190001
—
PA
05
—
02046124
—
NY
01
—
290013707
RR MEDICARE PIN
PA
01
—
CC9269
RR MEDICARE GROUP
PA
01
—
GU040024
PA MEDICARE GROUP
PA
Enumeration date
02/02/2006
Last updated
10/28/2008
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