DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MATTHEW LEWULLIS, DO

Active

MATTHEW LEWULLIS, DO is a Sports Medicine healthcare provider located in BERWYN, Pennsylvania. NPI 1679604979 is currently active in the NPPES registry. Verify at CMS.

Sports Medicine · BERWYN, PA

Registration Details

NPI Number
1679604979
Provider Type
Individual
Gender
Male
NPI Issued
Mar 8, 2007 (19.448050376965 yrs)
Last Updated
Jan 6, 2017
Licenses
OS013072 (PA)
OS013072 (PA)
OS013072 (PA)

Practice Information

Address
1001 CHESTERBROOK BOULEVARD
BERWYN, PA, 19312
Browse PA providers · Browse ZIP 19312
Phone
6105767700
Fax
6105767705
Primary Specialty
Sports Medicine
207QS0010X
Additional Specialty
Family Medicine
Additional Specialty
Sleep Medicine
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.