Individual
DR. MATILDE M. IRIGOYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5501 OLD YORK RD, PHILADELPHIA, PA 19141-3018
(215) 456-7170
(215) 456-4923
Mailing address
5501 OLD YORK RD, PHILADELPHIA, PA 19141-3018
(215) 456-7170
(215) 456-4923
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD430503
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00671458
—
NY
05
—
101883541
—
PA
Enumeration date
12/21/2005
Last updated
11/03/2014
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