Provider Demographics
NPI:1558792341
Name:PRING, MATTHEW (CSA)
Entity Type:Individual
Prefix:
First Name:MATTHEW
Middle Name:
Last Name:PRING
Suffix:
Gender:M
Credentials:CSA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5261 ABERDENE ST
Mailing Address - Street 2:
Mailing Address - City:CENTER VALLEY
Mailing Address - State:PA
Mailing Address - Zip Code:18034-9550
Mailing Address - Country:US
Mailing Address - Phone:610-360-1218
Mailing Address - Fax:
Practice Address - Street 1:5261 ABERDENE ST
Practice Address - Street 2:
Practice Address - City:CENTER VALLEY
Practice Address - State:PA
Practice Address - Zip Code:18034-9550
Practice Address - Country:US
Practice Address - Phone:610-360-1218
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-12-05
Last Update Date:2013-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA3596246ZC0007X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZC0007XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical Assistant