Dr. Matthew Grunewald, MD, PhD
Pediatrics, Pediatric Rheumatology in Philadelphia, PA. Individual provider (NPI-1).
NPI number1164092888
StatusActive
Last updated in NPPESJun 11, 2024
Details
- NPI
- 1164092888
- Entity type
- Individual (NPI-1)
- Name
- Dr. Matthew Grunewald
- Credential
- MD, PhD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 25, 2021
- Certification date
- Jun 11, 2024
- Last updated
- Jun 11, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2080P0216X | Pediatrics, Pediatric Rheumatology | MT230681 | PA | Yes |
| 208000000X | Pediatrics | 2021021893 | MO |
Practice location
3401 Civic Center BlvdPhiladelphia, PA 19104-4319
Phone 215-590-2547
Mailing address
1 Childrens Pl Ste 3s34Saint Louis, MO 63110-1002
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