Individual
DR. MATTHEW B HILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1999 SPROUL RD, STE 25,STE 26, BROOMALL, PA 19008-3508
(610) 353-6400
Mailing address
1999 SPROUL RD, STE 25,STE 26, BROOMALL, PA 19008-3508
(610) 353-6400
Taxonomy
Speciality
Code
Description
License number
State
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
MD422318
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0031381000
IBC
—
01
—
00645139
RAILROAD MEDICARE
—
05
—
1022272770001
—
PA
01
—
58229
AETNA
PA
Enumeration date
05/21/2007
Last updated
09/09/2019
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