Provider Demographics
NPI:1942849153
Name:NATURES WAY MEDICINE
Entity Type:Organization
Organization Name:NATURES WAY MEDICINE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:ANTONI
Authorized Official - Last Name:ROMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:412-334-7600
Mailing Address - Street 1:131 N 4TH ST
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19106-1995
Mailing Address - Country:US
Mailing Address - Phone:855-420-3627
Mailing Address - Fax:855-696-3299
Practice Address - Street 1:131 N 4TH ST
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19106-1995
Practice Address - Country:US
Practice Address - Phone:855-420-3627
Practice Address - Fax:855-696-3299
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:NATURES WAY MEDICINE, P.C.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-01-06
Last Update Date:2020-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
No207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
No261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder