Decaro, Matthew

Decaro, Matthew is an individual health care provider with primary practice located at 925 Chestnut St Mezzanine, Philadelphia PA 19107-4216. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Decaro, Matthew can be contacted via phone (215) 955-5050.

Contact Information

Primary practice address
925 Chestnut St Mezzanine Philadelphia PA 19107-4216
Fax: (215) 955-7499
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD025314E Pennsylvania
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X MD025314E Pennsylvania

Profile Details

NPI number 1003839606
LBN Legal business name Decaro, Matthew
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 25th, 2006
Last updated Dec 18th, 2013 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003839606 NPPES
Pennsylvania MEDICAID 001078607
Pennsylvania MEDICAID 4515501

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