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NPI Code Detail

MEDICARE: MR. MATTHEW J AY MCILRATH D.C.

MEDICARE: MR. MATTHEW J AY MCILRATH D.C.
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
1111N00000XChiropractorF10000366DE

General Provider Information

NPI Number : 1801984828
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. MATTHEW J AY MCILRATH D.C.
Provider Business Mailing Address
First Line : 1201 PHILADELPHIA PIKE
Second Line :
City : WILMINGTON
State : DE
Zip : 19809-2042
Country : US
Telephone Number : 302-798-7033
Fax Number :
Provider Business Practice Location Address
First Line : 1201 PHILADELPHIA PIKE
Second Line :
City : WILMINGTON
State : DE
Zip : 19809-2042
Country : US
Telephone Number : 302-798-7033
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/11/2006
Last Update Date : 10/10/2007

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