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
Phone: (215) 955-5050
Fax: (215) 955-7499
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1003839606 | NPPES |
Pennsylvania | MEDICAID | 001078607 | |
Pennsylvania | MEDICAID | 4515501 |
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