Individual
MR. MATTHEW LEONARD CADWALLADER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1401 BETHLEHEM PIKE, FLOURTOWN, PA 19031-1904
(215) 233-1001
(215) 233-9749
Mailing address
424 W PRICE ST, PHILADELPHIA, PA 19144-4406
(215) 713-9595
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA002594L
PA
Other
Enumeration date
08/15/2006
Last updated
07/08/2007
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