Individual
MATTHEW J. BRACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1605 E EVESHAM RD STE 100A, VOORHEES, NJ 08043-1437
(856) 741-7100
(856) 424-2629
Mailing address
301 LIPPINCOTT DR STE 410, MARLTON, NJ 08053-4197
(856) 741-7100
(856) 424-2629
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25MA09797400
NJ
207Q00000X
Family Medicine Physician
MD432488
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1021840530001
—
PA
Enumeration date
05/17/2007
Last updated
07/12/2022
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