Provider Demographics
NPI:1033291844
Name:NAEGLE, MATTHEW (MD)
Entity Type:Individual
Prefix:
First Name:MATTHEW
Middle Name:
Last Name:NAEGLE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:410 W LINFIELD TRAPPE RD STE 100
Mailing Address - Street 2:
Mailing Address - City:LIMERICK
Mailing Address - State:PA
Mailing Address - Zip Code:19468-4295
Mailing Address - Country:US
Mailing Address - Phone:610-495-2300
Mailing Address - Fax:610-495-2330
Practice Address - Street 1:410 W LINFIELD TRAPPE RD STE 100
Practice Address - Street 2:
Practice Address - City:LIMERICK
Practice Address - State:PA
Practice Address - Zip Code:19468-4295
Practice Address - Country:US
Practice Address - Phone:610-495-2300
Practice Address - Fax:610-495-2330
Is Sole Proprietor?:No
Enumeration Date:2006-10-20
Last Update Date:2022-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD016000E207R00000X, 207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAB35073Medicare UPIN