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General NPI Number Information
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NPI Number | 1851915649
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Entity Type | Individual
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Provider Name | MATTHEW M RYDLEWSKI JR. PA-C
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Gender | Male
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Dates
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Enumeration Date | 06/08/2020
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Last Update Date | 01/11/2024
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Provider Practice Location Address
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Address Line | 16337 COASTAL HWY
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City | LEWES
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State | DE
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Zip | 19958-3607
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Country | US
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Telephone | 302-291-9900
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Fax | 302-200-9094
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Provider Business Mailing Address
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Address Line | 2099 NEW ALBANY RD
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City | CINNAMINSON
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State | NJ
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Zip | 08077-3534
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Country | US
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Telephone | 609-926-8899
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Fax | 856-772-1997
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 25MP00581700
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License Number State | NJ
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