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NPI Code Detail

MEDICARE: MATTHEW VIGGIANO MD

MEDICARE: MATTHEW VIGGIANO MD
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
1207R00000XInternal Medicine PhysicianMT229679PA

General Provider Information

NPI Number : 1982389813
Entity Type Code : Individual
Provider Name (Legal Business Name) : MATTHEW VIGGIANO MD
Provider Business Mailing Address
First Line : 310 HERMIT ST UNIT 2
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19128-5128
Country : US
Telephone Number : 602-291-3539
Fax Number :
Provider Business Practice Location Address
First Line : 3222 N BROAD ST
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19140-5008
Country : US
Telephone Number : 215-707-1800
Fax Number : 215-707-3644
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/19/2023
Last Update Date : 06/19/2023

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