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Individual

DR. NICOLE ANDRE'A MATTHEWS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.O.

Contact information

Practice address
5501 OLD YORK RD, PHILADELPHIA, PA 19141-3018
(215) 456-9900
Mailing address
8470 LIMEKILN PIKE, APT #404, WYNCOTE, PA 19095-2701
(215) 416-7607

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
OT012401
PA

Other

Enumeration date
07/06/2008
Last updated
07/06/2008
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