Individual
DR. MATTHEW DOUGLAS MACDOUGALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
160 E ERIE AVE, PHILADELPHIA, PA 19134-1011
(215) 427-5000
Mailing address
5827 AUGSBURG CIR, EAST SYRACUSE, NY 13057-3050
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD469264
PA
208000000X
Pediatrics Physician
MT213507
PA
Other
Enumeration date
03/27/2017
Last updated
07/20/2020
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