Individual
DR. MATTHEW SCOTT HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3800 RESERVOIR RD NW, WASHINGTON, DC 20007-2113
(202) 444-3001
(202) 444-1462
Mailing address
PO BOX 418283, BOSTON, MA 02241-8283
(703) 558-1544
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
35081929H
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000349232
ANTHEM PIN
OH
05
—
2529535
—
OH
01
—
341827025
TAX ID #
OH
Enumeration date
08/30/2005
Last updated
03/07/2012
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