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Individual

DR. DWIGHT FITZGERALD MATTHIAS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
11803 JEFFERSON AVE, PORT WARWICK MEDICAL ARTS SUITE 236, NEWPORT NEWS, VA 23606-2565
(757) 594-1072
(757) 594-1195
Mailing address
PO BOX 1345, CHESAPEAKE, VA 23327-1345
(757) 436-0909
(757) 436-0169

Taxonomy

Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
0101229098
VA
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
A63168
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0101229098
VA LICENSE
VA
Enumeration date
07/03/2006
Last updated
07/08/2007
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