Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RC0200X | Critical Care Medicine | MD454148 | PA |
NPI | 1033383187 |
---|---|
Provider Name | Matthew Paul Siedsma |
First Address | Pittsburgh, PA 15251-2348 |
Second Address | Pittsburgh, PA 15219-5114 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/04/2008 |
Last Update Date | 15/07/2021 |