Individual
MATTHEW BRIAN MACKWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, MPH
Contact information
Practice address
18 OLD ETNA RD, LEBANON, NH 03766
(603) 650-4000
Mailing address
18 OLD ETNA RD, LEBANON, NH 03766-1937
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
19200
NH
207Q00000X
Family Medicine Physician
MD60672828
WA
Other
Enumeration date
05/07/2014
Last updated
10/22/2018
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