Organization
MD MATT
Active
Other names
MD MATT
Organization subpart
No
Provider details
NPI number
Authorized official
MD MATT (OWNER AND BUSINESS MANAGER)
(443) 559-4137
Entity
Organization
Contact information
Practice address
10220 S DOLFIELD RD STE 106, OWINGS MILLS, MD 21117-3660
(443) 559-4137
Mailing address
10220 S DOLFIELD RD STE 106, OWINGS MILLS, MD 21117-3660
(443) 559-4137
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
261QP2300X
Primary Care Clinic/Center
—
—
Other
Enumeration date
12/27/2017
Last updated
07/16/2024
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