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Individual

DR. MATTHEW PETER OGNIBENE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
230 N BROAD ST, PHILADELPHIA, PA 19102-1121
(215) 762-7000
Mailing address
230 N BROAD ST DEPT OF, PHILADELPHIA, PA 19102-1178
(215) 762-7000

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
24337
NH
207P00000X
Emergency Medicine Physician
Primary
328431
LA
207P00000X
Emergency Medicine Physician
MT212101
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1326498585
ME
05
3141649
NH
Enumeration date
06/20/2016
Last updated
03/28/2024
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