Gotthold, Matthew Patrick

Gotthold, Matthew Patrick is an individual health care provider with primary practice located at 1202 Foulk Rd , Wilmington DE 19803-2796. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Gotthold, Matthew Patrick can be contacted via phone (302) 762-6222.

Contact Information

Primary practice address
1202 Foulk Rd Wilmington DE 19803-2796
Phone: (302) 762-6222
Fax: (302) 764-6058
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X C1-0004279 Delaware

Profile Details

NPI number 1912991860
LBN Legal business name Gotthold, Matthew Patrick
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 7th, 2005
Last updated Jul 8th, 2007 - about 18 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 1912991860 NPPES
Delaware MEDICAID 0000572701

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