Individual
MATTHEW C SOPHY
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
73 COAL ST, PORT CARBON, PA 17965-1823
(570) 622-6302
(570) 622-7153
Mailing address
73 COAL ST, PORT CARBON, PA 17965-1823
(570) 622-6302
(570) 622-7153
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
OS005079L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0009455300002
—
PA
Enumeration date
02/12/2006
Last updated
07/08/2007
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