Matthew Idelson

NPI #1225647654 in Garnet Valley, Pennsylvania

Provider Information

NPI Number: 1225647654
Entity Type: Individual
Name: Matthew Idelson
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Enumeration Date: Jul 31, 2020
Last Updated: Jul 31, 2020

Practice Location

Address: 22 VERNON LN
City: Garnet Valley
State: Pennsylvania
ZIP Code: 19060-1319
Phone: (610) 888-4520

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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