# MATCLINIC PHYSICIANS PRACTICE GROUP LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1295227197
- **Authorized official:** DAN RECK (MANAGER)
- **Authorized official phone:** (410) 220-0780

## Contact information

- **Practice address:** 7801 YORK RD STE 300, TOWSON, MD 21204-7449
- **Practice address phone:** (410) 220-0780
- **Practice address fax:** (410) 862-0150
- **Mailing address:** PO BOX 9068, BALTIMORE, MD 21222-0768
- **Mailing address phone:** (410) 220-0720
- **Mailing address fax:** (410) 862-0150

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/06/2018
- **Last updated:** 05/11/2022