Individual
WILLIAM HENRY MATTHAI JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
51 NORTH 39TH STREET, 4 PHI, PHILADELPHIA, PA 19104
(215) 662-9189
(215) 243-4612
Mailing address
51 NORTH 39TH STREET, 4 PHI, PHILADELPHIA,, PA 19104
(215) 662-9189
(215) 243-4612
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
25MA05637200
NJ
207RC0000X
Cardiovascular Disease Physician
Primary
MD034664E
PA
207RI0011X
Interventional Cardiology Physician
MD034664E
PA
207UN0901X
Nuclear Cardiology Physician
MD034664E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0011712360001
—
PA
Enumeration date
06/27/2006
Last updated
02/26/2020
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