Organization
MATCLINIC PHYSICIANS PRACTICE GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL RECK (MANAGER)
(410) 220-0780
Entity
Organization
Contact information
Practice address
601 7TH ST STE 304, LAUREL, MD 20707-4011
(410) 220-0780
(410) 862-0150
Mailing address
PO BOX 9068, BALTIMORE, MD 21222-0768
(410) 220-0720
(410) 862-0150
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
09/11/2019
Last updated
05/11/2022
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