Organization
MATTHEW J MALTA MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATTHEW J MALTA MD (PHYSICIAN OWNER)
(410) 573-2477
Entity
Organization
Contact information
Practice address
132 HOLIDAY CT, SUITE 201, ANNAPOLIS, MD 21401-7005
(410) 573-2477
(410) 573-2478
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
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0M93MJ
BCBS
—
05
—
483902100
—
MD
01
—
5719
BCBS
—
Enumeration date
03/10/2006
Last updated
11/30/2015
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