Individual
DR. MATTHEW E MIDCAP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1020 BLUESTONE DR, LITITZ, PA 17543-7632
(717) 569-9636
Mailing address
1020 BLUESTONE DR, LITITZ, PA 17543-7632
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
MD045904L
PA
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
MD045904L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001193153
—
PA
01
—
14731
LICENSE NO.
WV
01
—
18235
ABA CERTIFICATE NO.
—
01
—
18436
LICENSE NO.
SC
Enumeration date
09/22/2006
Last updated
09/17/2024
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