Individual
MR. MATT DANE BAKER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
108 MDG. NJ AIR NATIONAL GUARD., 3466 NEELY ROAD. MCGUIRE AFB, WRIGHTSTOWN, NJ 08641-5406
(609) 754-2635
Mailing address
719 BRIDGEVIEW RD, LANGHORNE, PA 19053-1930
(215) 630-9647
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA000629L
PA
Other
Enumeration date
09/26/2005
Last updated
07/08/2007
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