Individual
DR. MATTHEW ALAN FACKTOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
100 N ACADEMY AVE, DEPARTMENT OF THORACIC SURGERY, DANVILLE, PA 17822-2150
(570) 271-6367
(570) 271-5840
Mailing address
100 N ACADEMY AVE, DEPARTMENT OF THORACIC SURGERY, DANVILLE, PA 17822-2150
(570) 271-6367
(570) 271-5840
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
MD429109
PA
Other
Enumeration date
05/17/2006
Last updated
06/10/2020
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