Individual
MATTHEW JOEL HENTGES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
4800 FRIENDSHIP AVE FL 1, PITTSBURGH, PA 15224-1722
(412) 688-7580
(412) 681-9676
Mailing address
4800 FRIENDSHIP AVE FL 1, PITTSBURGH, PA 15224-1722
(412) 688-7580
(412) 681-9676
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
SC006288
PA
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
SC006288
PA
213ES0131X
Foot Surgery Podiatrist
SC006288
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103032566
—
PA
Enumeration date
06/30/2011
Last updated
10/08/2020
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