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Individual

DR. THOMAS L MATTHEW

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
8600 OLD GEORGETOWN RD, BETHESDA, MD 20814-1422
(301) 896-7610
Mailing address
6201 GREENLEIGH AVE, MIDDLE RIVER, MD 21220-2004
(410) 933-6423

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
4076
WI
208600000X
Surgery Physician
41107
CO
208600000X
Surgery Physician
D83797
MD
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
4076
WI
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
41107
CO
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
D83797
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
72788771
CO
05
NPI
NE
01
P00970378
RAILROAD MEDICARE PTAN
CO
Enumeration date
11/02/2005
Last updated
05/28/2024
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