Organization
MD MATT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM SHAFFER (CARE COORDINATOR)
(443) 559-4137
Entity
Organization
Contact information
Practice address
1050 NORTH POINT RD, BALTIMORE, MD 21224-3329
(410) 575-1785
Mailing address
225 S CASTLE ST, BALTIMORE, MD 21231-2602
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
10/04/2019
Last updated
02/01/2022
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