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Organization
MD MATT LLC
Active
Organization
MD MATT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM SHAFFER (OWNER)
(443) 220-6122
Entity
Organization
Contact information
Practice address
265 MILL ST STE 700, HAGERSTOWN, MD 21740-6181
(443) 559-4137
Mailing address
625 S CLINTON ST, BALTIMORE, MD 21224-4009
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
—
NULL
363LA2200X
Adult Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
01/08/2024
Last updated
01/08/2024
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