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:
Health care specialties
| Specialty | Code | License # | 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 17 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 | 1912991860 | NPPES |
| Delaware | MEDICAID | 0000572701 |
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