| Matclinic Physicians Practice Group LLC | |
|
7801 York Rd Ste 300 Towson MD 21204-7449 | |
| (410) 220-0780 | |
| (410) 862-0150 |
| Full Name | Matclinic Physicians Practice Group LLC |
|---|---|
| Speciality | Internal Medicine |
| Location | 7801 York Rd Ste 300, Towson, Maryland |
| Authorized Official Name and Position | Dan Reck (MANAGER) |
| Authorized Official Contact | 4102200780 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Matclinic Physicians Practice Group LLC Po Box 9068 Baltimore MD 21222-0768 Ph: (410) 220-0720 | Matclinic Physicians Practice Group LLC 7801 York Rd Ste 300 Towson MD 21204-7449 Ph: (410) 220-0780 |
| NPI Number | 1295227197 |
|---|---|
| Provider Enumeration Date | 06/06/2018 |
| Last Update Date | 05/11/2022 |
| Certification Date | 05/11/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295227197 | NPI | - | NPPES |
| 988006200 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Primary |
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