NPI 1720113350 · live from the CMS NPI Registry
Matthew Alferos Abad
Physician Assistant in Lansdowne, PA. National Provider Identifier 1720113350, active.
NPI record
| NPI | 1720113350 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physician Assistant 363A00000X |
| Practice location | 318 N Lansdowne Ave, Lansdowne, PA 19050 |
| Practice phone | 610-259-3385 |
| Mailing address | 1104 S Burnt Mill Rd, Voorhees, NJ 08043 |
| Enumerated | February 23, 2007 |
| Last updated | February 26, 2019 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant | 363A00000X | 25MP00175900 (NJ) |
| Physician Assistant primary | 363A00000X | MA053964 |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.