Individual
MATTHEW R DERING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNP
Contact information
Practice address
51 N 39TH ST, PENN HEART & VASCULAR PAVILION SUITE 420, PHILADELPHIA, PA 19104-2640
(215) 662-9189
Mailing address
51 N 39TH ST, 4 HVP, PHILADELPHIA, PA 19104-2640
(215) 662-9189
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
26NJ00492500
NJ
363LA2100X
Acute Care Nurse Practitioner
Primary
SP013905
PA
Other
Enumeration date
04/18/2014
Last updated
07/27/2015
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