Organization
ROBERT D. MATHIESON AND ASSOCIATES, M.D., LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT D. MATHIESON M.D. (PRESIDENT)
(410) 243-4460
Entity
Organization
Contact information
Practice address
3333 N CALVERT ST, SUITE # 680, BALTIMORE, MD 21218-2867
(410) 243-4460
Mailing address
3333 N CALVERT ST, SUITE # 680, BALTIMORE, MD 21218-2867
(410) 243-4460
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
D21327
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
602700800
—
MD
01
—
CJ9282
RAILROAD MEDICARE GROUP #
MD
01
—
LK90RO
CAREFIRST MARYLAND GRP #
MD
01
—
W297
BLUECHOICE MARYLAND GRP #
MD
Enumeration date
09/20/2006
Last updated
05/05/2008
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