Individual
MATTHEW MASAJI KIRKBRIDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4831 TESLA DR, SUITE F, BOWIE, MD 20715-4323
(240) 737-0080
(301) 464-2783
Mailing address
12510 PROSPERITY DR, SUITE 200, SILVER SPRING, MD 20904-1663
(240) 485-5210
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
D0077809
MD
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
D0077809
MD
Other
Enumeration date
05/12/2009
Last updated
10/18/2016
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