Individual
MATTHEW HERBERT BRUNTEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
15245 SHADY GROVE RD STE 130, ROCKVILLE, MD 20850
(301) 527-1650
Mailing address
11100 POWDER HORN DR, POTOMAC, MD 20854-2539
(202) 604-1405
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
OS014243
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
020449800
—
MD
Enumeration date
01/09/2008
Last updated
12/26/2019
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