Individual
MATTHEW MICHAEL SCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
500 W PUTNAM AVE STE 110, GREENWICH, CT 06830-6079
(203) 422-7250
Mailing address
500 W PUTNAM AVE STE 110, GREENWICH, CT 06830-6079
(203) 422-7250
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
1.075626-DO
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/06/2020
Last updated
09/20/2023
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