Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | MD016000E | PA |
N | 111NI0900X | Internist | MD016000E | PA |
Y | 207RR0500X | Rheumatology | MD016000E | PA |
NPI | 1033291844 |
---|---|
Provider Name | Matthew Naegle |
First Address | Limerick, PA 19468-4295 |
Second Address | Limerick, PA 19468-4295 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/10/2006 |
Last Update Date | 10/02/2022 |