Individual
MATTHEW T MATTHEW
Active
Individual
MATTHEW T MATTHEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
010253189
VA
207L00000X
Anesthesiology Physician
Primary
9800629
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12224
BLUE CROSS
NC
05
—
7912224
—
NC
Enumeration date
07/11/2006
Last updated
11/25/2013
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