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Individual

MATTHEW ALFRED SPEICHER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
6115 FALLS RD, STE 300, BALTIMORE, MD 21209-2219
(410) 377-7611
(410) 377-8221
Mailing address
6115 FALLS RD, STE 300, BALTIMORE, MD 21209-2219
(410) 377-7611
(410) 377-8221

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
D0057303
MD
207W00000X
Ophthalmology Physician
MD421374
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01951362
PA
01
0802234
AMERICHOICE
MD
01
1534035
GATEWAY
PA
01
187293
AMERIGROUP
MD
01
2895545
CIGNA
01
3107146
ALLIANCE
01
3228819
AETNA
05
4019288
MD
01
50012554
CAPITAL BLUE CORSS
PA
01
61949801
CAREIFRST BC/BS
MD
01
67192000000
PHN
01
919647
BLOCK VISION
MD
01
P00030755
MEDICARE RAILROAD
MD
01
P00030758
MEDICARE RAILROAD
PA
01
R6160003
CAREFIRST BC/BS
DC
01
SP1469598
HIGHMARK BLUE SHIELD
PA
Enumeration date
05/27/2005
Last updated
09/28/2012
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