Organization
MD MATT LLC
Active
Parent organization
MD MATT LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
MD MATT LLC
Authorized official
WILLIAM SHAFFER (OWNER)
(443) 220-6122
Entity
Organization
Contact information
Practice address
265 MILL ST, HAGERSTOWN, MD 21740-6130
(443) 559-4137
Mailing address
10220 S DOLFIELD RD STE 106, OWINGS MILLS, MD 21117-3660
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
06/19/2024
Last updated
06/19/2024
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