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Individual

DR. MATTHEW PORTER GRIMALDI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
801 OSTRUM ST, BETHLEHEM, PA 18015-1000
(610) 954-5810
(610) 954-5480
Mailing address
PO BOX 5520, BETHLEHEM, PA 18015-0520
(610) 954-5810
(610) 954-5480

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
25MA09511300
NJ
207L00000X
Anesthesiology Physician
Primary
MD459660
PA

Other

Enumeration date
07/11/2007
Last updated
01/04/2023
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