Individual
MATTHEW SCOTT LEENEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
MEDSTAR HARBOR HOSPITAL 3001 S HANOVER ST, BALTIMORE, MD 21225
(410) 350-3200
Mailing address
WHC PHYSICIAN GROUP LLC PO BOX 418283, BOSTON, MA 02241-8283
(703) 558-1544
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C0006576
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C0006576
MARYLAND PHYSICIAN ASSISTANT LICENSE
MD
Enumeration date
09/05/2017
Last updated
09/05/2017
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