Individual
MATTHEW SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
600 N WOLFE ST, BALTIMORE, MD 21287-0005
(410) 502-6575
Mailing address
600 N WOLFE ST, BALTIMORE, MD 21287-0005
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DX3547
MD
Other
Enumeration date
01/08/2015
Last updated
01/08/2015
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