Individual
DR. MATTHEW BRENT LAURENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
22 S GREENE ST, BALTIMORE, MD 21201-1544
(410) 706-5328
(410) 706-1204
Mailing address
685 W BALTIMORE ST, RM 480, BALTIMORE, MD 21201-1509
(410) 706-5328
(410) 706-1204
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
D63115
MD
208000000X
Pediatrics Physician
63115
MD
2080P0208X
Pediatric Infectious Diseases Physician
Primary
D63115
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
012499100
—
MD
Enumeration date
01/12/2007
Last updated
03/09/2018
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