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1235304536
MATTHEW R TIEDE
NEW YORK, NY
NPI
1235304536
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant Medical
Enumeration Date
2008-04-28
Last Update Date
2008-04-28
Business Address
MATTHEW R TIEDE PA-C
525 E 68TH ST BOX 130, RM M-528
NEW YORK, NY 10065-4870
Phone number: 610-716-1687
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Mailing Address
MATTHEW R TIEDE PA-C
537 S WATERLOO RD
DEVON, PA 19333-1729
Phone number: 610-716-1687
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