Individual
MATTHEW FRANKLIN PEARSALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3401 CIVIC CENTER BLVD, PHILADELPHIA, PA 19104-4319
(215) 590-1858
(215) 590-1415
Mailing address
3401 CIVIC CENTER BLVD STE 9329, PHILADELPHIA, PA 19104-4319
(267) 425-9300
(297) 425-9331
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
13614
RI
207L00000X
Anesthesiology Physician
MD438977
PA
207LP3000X
Pediatric Anesthesiology Physician
Primary
MD438977
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
243870EJL
MEDICARE
PA
05
—
801088868
—
DE
Enumeration date
03/13/2007
Last updated
12/30/2022
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