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Individual

DR. MATTHEW G SCUDERI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
6620 FLY ROAD, STE 200, EAST SYRACUSE, NY 13057
(315) 464-4472
(315) 464-5229
Mailing address
6620 FLY ROAD, STE 200, EAST SYRACUSE, NY 13057
(315) 464-4472
(315) 464-5229

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
231541
NY
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
231541
NY
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
231541
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02551279
NY
Enumeration date
06/10/2006
Last updated
11/30/2009
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