Individual
MR. MATTHEW JOHN SUNDQUIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNP
Contact information
Practice address
9501 ROOSEVELT BLVD, SUITE 100, PHILADELPHIA, PA 19114
(215) 624-6162
(215) 624-2496
Mailing address
9501 ROOSEVELT BLVD, SUITE 100, PHILADELPHIA, PA 19114
(215) 624-6162
(215) 624-2496
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
SP012680
PA
Other
Enumeration date
01/16/2013
Last updated
09/11/2025
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