Individual
DR. MATTHEW C. WIGGINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
555 N DUKE ST, LANCASTER, PA 17602-2250
(717) 299-4173
(717) 295-4773
Mailing address
555 N DUKE ST, LANCASTER, PA 17602-2250
(717) 299-4173
(717) 295-4773
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD428621
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1016709720001
—
PA
01
—
231855378
TAX ID - LANC RADIOLOGY
PA
01
—
P00326240
RAILROAD MEDICARE
PA
Enumeration date
06/08/2006
Last updated
09/26/2024
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