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1881278992
MATTHEW ROBERT DETTER
PHILADELPHIA, PA
NPI
1881278992
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2021-05-06
Last Update Date
2021-05-06
Business Address
MATTHEW ROBERT DETTER MD, PhD
3400 SPRUCE ST
PHILADELPHIA, PA 19104-4238
Phone number: 215-823-4133
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Mailing Address
MATTHEW ROBERT DETTER MD, PhD
3400 SPRUCE ST
PHILADELPHIA, PA 19104-4238
Phone number:
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