Individual
MATTHEW C MCCLURE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
101 NICOLLS RD, HSC LEVEL 4 ROOM 080, STONY BROOK, NY 11794-0001
(631) 444-3880
Mailing address
101 NICOLLS RD, HSC LEVEL 4 ROOM 080, STONY BROOK, NY 11794-0001
(631) 444-3880
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
S6448
TX
Other
Enumeration date
03/28/2017
Last updated
07/10/2020
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