Provider Demographics
NPI:1386857282
Name:CRAIG, MATTHEW R (MD, MS)
Entity type:Individual
Prefix:DR
First Name:MATTHEW
Middle Name:R
Last Name:CRAIG
Suffix:
Gender:M
Credentials:MD, MS
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Mailing Address - Street 1:833 CHESTNUT ST STE 520
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19107-4430
Mailing Address - Country:US
Mailing Address - Phone:267-339-3558
Mailing Address - Fax:267-339-3763
Practice Address - Street 1:2400 MARYLAND RD
Practice Address - Street 2:SUITE 20
Practice Address - City:WILLOW GROVE
Practice Address - State:PA
Practice Address - Zip Code:19090-1700
Practice Address - Country:US
Practice Address - Phone:215-830-8700
Practice Address - Fax:215-830-8715
Is Sole Proprietor?:No
Enumeration Date:2007-05-07
Last Update Date:2024-05-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMD434177207XX0801X, 207X00000X
NJ25MA10299300207XX0801X, 207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
No207XX0801XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryOrthopaedic Trauma
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA129881Medicare PIN