Individual
MATTHEW JOEL NAGORSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
205 N BROAD ST, SUITE 401, PHILADELPHIA, PA 19107-1554
(215) 762-4600
(215) 988-0733
Mailing address
205 N BROAD ST, SUITE 401, PHILADELPHIA, PA 19107-1554
(215) 762-4600
(215) 988-0733
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
MD043861E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0011689100004
—
PA
Enumeration date
01/29/2006
Last updated
02/03/2020
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