Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | MD00046267 | WA |
N | 208000000X | Pediatrician | MD431696 | PA |
Y | 2080P0208X | Pediatric Infectious Diseases | MD00046267 | WA |
NPI | 1457463424 |
---|---|
Provider Name | Matthew Patterson Kronman |
First Address | Seattle, WA 98105-3901 |
Second Address | Seattle, WA 98105 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/08/2006 |
Last Update Date | 21/05/2018 |