Individual
MATTHEW TABERSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
51 N. 39TH STREET, EMERGENCY MEDICINE, PHILADELPHIA, PA 19104-2640
(215) 662-8296
(215) 243-4626
Mailing address
51 N. 39TH STREET, EMERGENCY MEDICINE, PHILADELPHIA, PA 19104-2640
(215) 662-8296
(215) 243-4626
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD069823L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0019402510002
—
PA
Enumeration date
06/21/2006
Last updated
11/05/2012
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