Individual
MR. MATTHEW KENNETH MAUST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
3737 MARKET ST FL 8, PHILADELPHIA, PA 19104-5545
(215) 662-3340
(215) 222-8878
Mailing address
3737 MARKET ST, 8TH FL, PHILADELPHIA, PA 19104-3340
(215) 662-3340
(215) 222-8878
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA055948
PA
Other
Enumeration date
01/17/2013
Last updated
07/21/2022
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