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Individual

MATTHEW J DEASEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2280 IVY RD STE 1304, CHARLOTTESVILLE, VA 22903-4977
(434) 243-7778
(434) 244-4454
Mailing address
PO BOX 749112, ATLANTA, GA 30374-9112

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
0101282543
VA
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
0101282543
VA

Other

Enumeration date
04/05/2017
Last updated
07/10/2024
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