Individual
MATTHEW MAXIMILIAN O'BRIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1401 FOULK RD, STE 202, WILMINGTON, DE 19803-2763
(302) 478-5650
(302) 477-0455
Mailing address
1401 FOULK RD, STE 202, WILMINGTON, DE 19803-2763
(302) 478-5650
(302) 477-0455
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
C10005808
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G02363B01
MEDICARE PTAN
DE
Enumeration date
06/06/2006
Last updated
07/24/2013
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