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Individual

MR. MATTHEW J GUINAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
P.A.

Contact information

Practice address
4900 BROAD RD, SYRACUSE, NY 13215-2265
(315) 492-5011
Mailing address
4900 BROAD RD, SYRACUSE, NY 13215-2265

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
020179-1
NY
363AM0700X
Medical Physician Assistant
020179-1
NY

Other

Enumeration date
11/11/2016
Last updated
10/30/2024
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