Individual
DR. MATTHEW ALFRED INGHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
161 FORT WASHINGTON AVE, NEW YORK, NY 10032-3729
(646) 317-6041
(212) 305-6861
Mailing address
630 W 168TH ST, BOX 4, NEW YORK, NY 10032-3725
(646) 317-6041
(212) 305-6891
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
268872
NY
207RH0000X
Hematology (Internal Medicine) Physician
268872
NY
207RX0202X
Medical Oncology Physician
Primary
268872
NY
Other
Enumeration date
04/13/2010
Last updated
06/05/2023
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