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Individual

MATTHEW BESSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
225 ABRAHAM FLEXNER WAY, SUITE 305, LOUISVILLE, KY 40202-1846
(502) 585-4321
(502) 566-6338
Mailing address
100 E LIBERTY ST STE 800, LOUISVILLE, KY 40202-1428
(502) 585-4321
(502) 566-6338

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
01042487A
IN
207RC0000X
Cardiovascular Disease Physician
Primary
30377
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
060053445
RAILROAD MEDICARE
KY
01
060066994
RAILROAD MEDICARE
KY
05
200040800
IN
01
60054432
RAILROAD MEDICARE
IN
05
64303779
KY
Enumeration date
10/06/2005
Last updated
03/21/2018
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