Individual
DR. MATTHEW J MALTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
132 HOLIDAY CT, SUITE 201, ANNAPOLIS, MD 21401-7005
(410) 573-2477
(410) 573-2475
Mailing address
PO BOX 13830, BELFAST, ME 04915-4029
(410) 573-2477
(410) 573-2478
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D0051819
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001
BCBS
—
01
—
08344
AMERIGROUP
—
01
—
201230000
FEDERAL WORKMANS COMP
—
01
—
33305
KAISER
—
05
—
483902100
—
MD
01
—
54684902
BCBS
—
01
—
5994553
AETNA
—
01
—
998491
AETNA HMO
—
Enumeration date
10/19/2005
Last updated
11/30/2015
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