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NPI Code Detail

MEDICARE: MATTHEW SCOTT SHEEDY CRNA

MEDICARE: MATTHEW SCOTT SHEEDY CRNA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207L00000XAnesthesiology Physician26NO07018300NJ

General Provider Information

NPI Number : 1194786335
Entity Type Code : Individual
Provider Name (Legal Business Name) : MATTHEW SCOTT SHEEDY CRNA
Provider Business Mailing Address
First Line : 200 TRENTON RD
Second Line :
City : BROWNS MILLS
State : NJ
Zip : 08015-1705
Country : US
Telephone Number : 609-893-6611
Fax Number : 609-732-0175
Provider Business Practice Location Address
First Line : 200 TRENTON RD
Second Line :
City : BROWNS MILLS
State : NJ
Zip : 08015-1705
Country : US
Telephone Number : 609-893-6611
Fax Number : 609-732-0175
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/29/2006
Last Update Date : 02/04/2013

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Directions to “ MATTHEW SCOTT SHEEDY CRNA” Practice Location

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