Individual
MATTHEW JAMES STUART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
9171 BALTIMORE NATIONAL PIKE, STE 120, ELLICOTT CITY, MD 21042-3922
(410) 480-3705
(410) 480-3707
Mailing address
9171 BALTIMORE NATIONAL PIKE, STE 120, ELLICOTT CITY, MD 21042-3922
(410) 480-3705
(410) 480-3707
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
21403
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
65089103
CAREFIRST
MD
01
—
J9660004
BLUECHOICE
—
Enumeration date
07/25/2006
Last updated
02/29/2008
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