Individual
MATTHEW FREDERICK WELLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
600 GRESHAM DR STE 8630, NORFOLK, VA 23507-1904
(757) 388-6115
(757) 275-9998
Mailing address
3600 FORBES AVENUE, FORBES TOWER PLAZA LEVEL SUITE 140, PITTSBURGH, PA 15213
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD480271
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/21/2019
Last updated
07/17/2024
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