Van Deusen, Mathew A

Van Deusen, Mathew A is an individual health care provider with primary practice located at 320 E North Ave , Pittsburgh PA 15212-4756. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery). Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) is his primary health care specialty. Van Deusen, Mathew A can be contacted via phone (412) 359-8820.

Contact Information

Primary practice address
320 E North Ave Pittsburgh PA 15212-4756
Phone: (412) 359-8820
Fax: (412) 359-8222
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X MD420804 Pennsylvania
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X MD420804 Pennsylvania

Profile Details

NPI number 1033232723
LBN Legal business name Van Deusen, Mathew A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 9th, 2007
Last updated Apr 3rd, 2008 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033232723 NPPES
Pennsylvania MEDICAID 1019385410001
Pennsylvania MEDICAID 2750698
Pennsylvania MEDICAID 3810009106

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