Individual
MATTHEW PERAGINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS ATC LAT PES CES
Contact information
Practice address
1 WINNING DR, OWINGS MILLS, MD 21117-4776
(908) 770-7182
Mailing address
1 WINNING DR, OWINGS MILLS, MD 21117-4776
(908) 770-7182
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
AT0000845
MD
Other
Enumeration date
06/05/2014
Last updated
01/18/2017
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