Individual
DR. MATTHEW LEE DEAUGUSTINIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., M.P.H.
Contact information
Practice address
900 S CATON AVE, BALTIMORE, MD 21229-5201
(919) 526-0653
Mailing address
951 FELL ST, APT 402, BALTIMORE, MD 21231-3586
(828) 439-5804
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
135519
CA
207P00000X
Emergency Medicine Physician
Primary
D78852
MD
207P00000X
Emergency Medicine Physician
MD042850
DC
Other
Enumeration date
03/29/2011
Last updated
07/27/2015
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