Individual
MATTHEW ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPRS
Contact information
Practice address
30 BANCROFT MILLS RD # 3, WILMINGTON, DE 19806-2028
(302) 510-5672
Mailing address
30 BANCROFT MILLS RD # 3, WILMINGTON, DE 19806-2028
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
2058
DE
Other
Enumeration date
07/11/2022
Last updated
07/11/2022
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