MATTHEW LUCAS WALL

PHILADELPHIA, PA
NPI1821746777
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LP0200X Nurse Practitioner, Pediatrics
(Licence: PA  SP025443)
Enumeration Date2022-03-10
Last Update Date2022-03-10
Business Address
MATTHEW LUCAS WALL
3401 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104-4319
Phone number: 215-590-1000
Mailing Address
MATTHEW LUCAS WALL
14 MARTIN RD
COATESVILLE, PA 19320-4916
Phone number: 301-672-2181
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