Individual
ALAN KEN MATSUMOTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2730 UNIVERSITY BLVD W, SUITE 310, WHEATON, MD 20902-1905
(301) 942-7600
(301) 942-3132
Mailing address
2730 UNIVERSITY BLVD W, SUITE 310, WHEATON, MD 20902-1905
(301) 942-7600
(301) 942-3132
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
D0036867
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0004482962
AETNA
—
01
—
0009
CAREFIRST OF DC
DC
05
—
090361200
—
MD
01
—
103774
FIRST HEALTH
—
01
—
1847871
UNITED HEALTHCARE
—
01
—
21470
PRIORITY PARTNERS
—
01
—
397348
ALLIANCE
—
01
—
493058
NCPPO
—
01
—
52147007
CAREFIRST OF MARYLAND
MD
01
—
7169832
MAMSI
—
Enumeration date
07/19/2005
Last updated
03/11/2021
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