Nagorsky, Matthew Joel

Nagorsky, Matthew Joel is an individual health care provider with primary practice located at 205 N Broad St Suite 401, Philadelphia PA 19107-1554. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Nagorsky, Matthew Joel can be contacted via phone (215) 762-4600.

Contact Information

Primary practice address
205 N Broad St Suite 401 Philadelphia PA 19107-1554
Fax: (215) 988-0733
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X MD043861E Pennsylvania

Profile Details

NPI number 1780655738
LBN Legal business name Nagorsky, Matthew Joel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 29th, 2006
Last updated Feb 3rd, 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 1780655738 NPPES
Pennsylvania MEDICAID 0011689100004

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