Individual provider · Type 1 NPI

Matthew Custodio

Gastroenterology Physician · Philadelphia, PA

NPI number 1770042988 Active

Practice location

333 Cottman Ave
Philadelphia, PA 19111-2434

Fax (215) 214-1425

Mailing address

3401 N Broad St
Philadelphia, PA 19140-5103

Specialties and licenses

TaxonomyCodeLicense
Gastroenterology Physician Primary 207RG0100XMD489166 (PA)

Gastroenterology Physician: An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

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About NPI 1770042988

Matthew Custodio's National Provider Identifier is 1770042988, issued on Mar 18, 2019. The primary taxonomy on file is Gastroenterology Physician (207RG0100X), and the practice location is in Philadelphia, PA. The record was last updated on Feb 13, 2026.