Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0003X | Hematology & Oncology | MD034133E | PA |
NPI | 1073587648 |
---|---|
Provider Name | Matthew G Sulecki |
First Address | Greensburg, PA 15601-3783 |
Second Address | Greensburg, PA 15601-3783 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/02/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
E38331 | (02) | PA |