Individual
MATTHEW JOHN KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
404 THAMES ST, GROTON, CT 06340-3959
(860) 445-0494
Mailing address
404 THAMES ST, GROTON, CT 06340-3959
(860) 445-0494
(860) 865-2383
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
078842
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/14/2021
Last updated
07/08/2024
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