Provider Demographics
NPI:1245799394
Name:MATTHEWS, JEFFREY PIPER (DO)
Entity Type:Individual
Prefix:
First Name:JEFFREY
Middle Name:PIPER
Last Name:MATTHEWS
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:965 BALTIMORE PIKE STE B2
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:PA
Mailing Address - Zip Code:19064-3997
Mailing Address - Country:US
Mailing Address - Phone:484-573-5116
Mailing Address - Fax:484-573-5122
Practice Address - Street 1:965 BALTIMORE PIKE STE B2
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:PA
Practice Address - Zip Code:19064-3997
Practice Address - Country:US
Practice Address - Phone:484-573-5116
Practice Address - Fax:484-573-5122
Is Sole Proprietor?:No
Enumeration Date:2019-03-18
Last Update Date:2023-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
PAOS020943207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program