Individual
MATTHEW SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNP
Contact information
Practice address
196 W SPROUL RD STE 205, SPRINGFIELD, PA 19064-2045
(610) 338-1820
Mailing address
196 W SPROUL RD STE 205, SPRINGFIELD, PA 19064-2045
(610) 338-1820
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
SP019154
PA
Other
Enumeration date
09/05/2018
Last updated
02/25/2020
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