Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | 01055287A | IN |
N | 207VF0040X | Female Pelvic Medicine and Reconstructive Surgeon | 01055287A | IN |
Y | 207VF0040X | Female Pelvic Medicine and Reconstructive Surgeon | MD451075 | PA |
NPI | 1124012125 |
---|---|
Provider Name | Dr. Matthew James Aungst |
First Address | Danville, PA 17822-4903 |
Second Address | Camp Hill, PA 17011-2207 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/09/2005 |
Last Update Date | 26/08/2020 |