Kanzler, Matthew Harrison

Kanzler, Matthew Harrison is an individual health care provider with primary practice located at 3200 Kearney Street Dermatology Department, Fremont CA 94538-2299. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatopathology, Allopathic & Osteopathic Physicians / Procedural Dermatology, Allopathic & Osteopathic Physicians / Dermatology. Allopathic & Osteopathic Physicians / Dermatology is his primary health care specialty. Kanzler, Matthew Harrison can be contacted via phone (510) 490-1222.

Contact Information

Primary practice address
3200 Kearney Street Dermatology Department Fremont CA 94538-2299
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatopathology 207ND0900X G57056 California
Allopathic & Osteopathic Physicians / Procedural Dermatology 207NS0135X G57056 California
Allopathic & Osteopathic Physicians / Dermatology 207N00000X G57056 California

Profile Details

NPI number 1629032271
LBN Legal business name Kanzler, Matthew Harrison
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 12th, 2006
Last updated May 28th, 2020 - about 4 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 1629032271 NPPES
California MEDICAID 00G570560

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