Matthew Vercauteren, PA
Physician Assistant in Pittsburgh, PA. Individual provider (NPI-1).
NPI number1487906285
StatusActive
Last updated in NPPESAug 12, 2014
Details
- NPI
- 1487906285
- Entity type
- Individual (NPI-1)
- Name
- Matthew Vercauteren
- Credential
- PA
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 4, 2012
- Last updated
- Aug 12, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | MA056784 | PA | Yes |
| 363A00000X | Physician Assistant | 5601006429 | MI | |
| 363AS0400X | Physician Assistant, Surgical | 5601006429 | MI |
Practice location
5200 Centre AvenueSuite 715
Pittsburgh, PA 15232
Phone 412-623-2025 · Fax 412-623-0329
Mailing address
5200 Centre AvenueSuite 715
Pittsburgh, PA 15232
Phone 412-623-2025 · Fax 412-623-0329
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