Organization
MATCLINIC PHYSICIANS PRACTICE GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAN RECK (MANAGER)
(410) 220-0780
Entity
Organization
Contact information
Practice address
40 S DUNDALK AVE STE 400, DUNDALK, MD 21222-4273
(410) 220-0780
(410) 862-0150
Mailing address
PO BOX 9068, BALTIMORE, MD 21222-0768
(410) 220-0720
(410) 862-0150
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
135675501
—
MD
Enumeration date
06/06/2018
Last updated
05/11/2022
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