Individual
DR. MATHEW W LIVELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M. D.
Contact information
Practice address
2195 CHEAT RD STE 2, MORGANTOWN, WV 26508-4516
(304) 594-0456
(304) 594-3249
Mailing address
2195 CHEAT RD STE 2, MORGANTOWN, WV 26508-4516
(304) 594-0456
(304) 594-3249
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
1445
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0048724000
—
WV
Enumeration date
08/17/2006
Last updated
04/02/2018
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