Individual
DR. MATT M VEGARI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
232 INDEPENDENCE RD, EAST STROUDSBURG, PA 18301
(570) 420-1955
(570) 424-0707
Mailing address
232 INDEPENDENCE RD, EAST STROUDSBURG, PA 18301
(570) 420-1955
(570) 424-0707
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
MD029809Y
PA
2084N0400X
Neurology Physician
Primary
MD0298094
PA
2084N0400X
Neurology Physician
MD029809Y
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0010902720003
—
PA
05
—
0010902720011
—
PA
Enumeration date
04/11/2006
Last updated
07/29/2010
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