Individual
MATTHEW G POFFENROTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6190 GEORGETOWN BLVD, ELDERSBURG, MD 21784-6460
(410) 552-5050
(410) 552-0200
Mailing address
6190 GEORGETOWN BLVD, ELDERSBURG, MD 21784-6460
(410) 552-5050
(410) 552-0200
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D0056652
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
415096100
—
MD
Enumeration date
10/31/2005
Last updated
09/10/2025
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