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1043801392
MATTHEW UPHAM
PHILADELPHIA, PA
NPI
1043801392
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: PA RN563334)
Enumeration Date
2021-01-29
Last Update Date
2021-03-10
Business Address
MATTHEW UPHAM RN, CRNA
10800 KNIGHTS RD
PHILADELPHIA, PA 19114-4200
Phone number: 215-612-4000
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Mailing Address
MATTHEW UPHAM RN, CRNA
4620 RICHMOND ST
PHILADELPHIA, PA 19137-2215
Phone number: 215-779-0220
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