Matthew Self

NPI 1528957545 · on the registry since 2025 · sole proprietor

Practice

Address: 1930 S Broad St
Philadelphia, PA 19145
Phone: (856) 308-7529
Organisation at this address: Mercy Life
Isd Renal Inc
Art Of Wellness
Sitar Enterprise Llc
City Of Philadelphia
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 119

Registry record

Primary taxonomy: 133V00000X
133V00000X
Licence states on file: PA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2025-08-07

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Pennsylvania