Individual
MATTHEW D. PILKERTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
525 FULTON DR, MC CONNELLSBURG, PA 17233-8061
(717) 485-3850
(717) 485-3725
Mailing address
109 RAYLOC DR, HANCOCK, MD 21750-1518
(301) 678-5187
(301) 678-5797
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
TMA052576
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007288800006
—
PA
01
—
391960
MEDICARE FQHC
PA
Enumeration date
09/13/2011
Last updated
09/13/2011
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