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NPI Code Detail

MEDICARE: MATTHEW WIRT

MEDICARE: MATTHEW WIRT
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
1207Q00000XFamily Medicine PhysicianMD441644PA

General Provider Information

NPI Number : 1699929349
Entity Type Code : Individual
Provider Name (Legal Business Name) : MATTHEW WIRT
Provider Business Mailing Address
First Line : 5769 SALTSBURG RD
Second Line :
City : VERONA
State : PA
Zip : 15147
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5769 SALTSBURG RD
Second Line :
City : VERONA
State : PA
Zip : 15147-3257
Country : US
Telephone Number : 412-793-8870
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/07/2008
Last Update Date : 03/25/2021

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Directions to “ MATTHEW WIRT ” Practice Location

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