Individual
MATTHEW THOMAS YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3855 GASKINS RD, HENRICO, VA 23233-1441
(804) 217-6363
(804) 217-6400
Mailing address
3855 GASKINS RD, HENRICO, VA 23233-1441
(804) 290-4278
(804) 217-6400
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
77997
GA
207WX0009X
Glaucoma Specialist (Ophthalmology) Physician
0101264079
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1609212844
—
VA
Enumeration date
05/15/2013
Last updated
11/02/2020
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