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1497931240
MATTHEW EDWARD RAVISH
WINSTON SALEM, NC
NPI
1497931240
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
208000000X Pediatrics
(Licence: NC 2010-01056)
Enumeration Date
2008-01-10
Last Update Date
2010-11-15
Business Address
Dr. MATTHEW EDWARD RAVISH D.O.
MEDICAL CENTER BLVD
WINSTON SALEM, NC 27157-0001
Phone number: 336-716-2255
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Mailing Address
Dr. MATTHEW EDWARD RAVISH D.O.
PO BOX 344
WINSTON SALEM, NC 27102-0344
Phone number: 336-716-2255
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