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1679660534
MATTHEW DIEDRICH
PHILADELPHIA, PA
NPI
1679660534
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: PA RN524586L)
Enumeration Date
2006-10-10
Last Update Date
2007-07-08
Business Address
-- MATTHEW DIEDRICH CRNA
34TH STREET & CIVIC CTR BLVD SUITE 9329
PHILADELPHIA, PA 19104
Phone number: 215-590-1858
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Mailing Address
-- MATTHEW DIEDRICH CRNA
100 N 20TH ST SUITE 200
PHILADELPHIA, PA 19103-1443
Phone number: 215-977-8100
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