Provider Demographics
NPI:1396956199
Name:MATTHEW LYNCH MD PA
Entity type:Organization
Organization Name:MATTHEW LYNCH MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:J
Authorized Official - Last Name:LYNCH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:609-448-6200
Mailing Address - Street 1:419 FARNSWORTH AVE
Mailing Address - Street 2:
Mailing Address - City:BORDENTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:08505-2004
Mailing Address - Country:US
Mailing Address - Phone:609-298-6042
Mailing Address - Fax:
Practice Address - Street 1:300B PRINCETON HIGHTSTOWN ROAD
Practice Address - Street 2:SUITE 101
Practice Address - City:EAST WINDSOR
Practice Address - State:NJ
Practice Address - Zip Code:08520
Practice Address - Country:US
Practice Address - Phone:609-448-6200
Practice Address - Fax:609-448-1800
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-24
Last Update Date:2008-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2086S0122XAllopathic & Osteopathic PhysiciansSurgeryPlastic and Reconstructive SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
1609834704OtherIND NPI
=========OtherTIN
1609834704OtherIND NPI