Organization
MATRIX RX
Active
Organization
MATRIX RX
Active
Other names
Matrix Rx Health Services
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHERRI FUGET C.M.T. (OFFICE MANAGER)
(443) 600-7466
Entity
Organization
Contact information
Practice address
1124 MACE AVE, BALTIMORE, MD 21221-3315
(443) 600-7466
Mailing address
1025 FOXRIDGE LN, BALTIMORE, MD 21221-5914
(443) 600-7466
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
M03406
MD
Other
Enumeration date
09/11/2007
Last updated
09/11/2007
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