MD Matt LLC
NPI #1962011288 in Owings Mills, Maryland
Provider Information
- NPI Number
- 1962011288
- Entity Type
- Organization
- Organization Name
- MD Matt LLC
- Primary Specialty
- Nurse Practitioner - Family
- Enumeration Date
- Jul 23, 2020
- Last Updated
- Apr 4, 2023
Practice Location
- Address
- 10220 S DOLFIELD RD STE 106
- City
- Owings Mills
- State
- Maryland
- ZIP Code
- 21117-3660
- Phone
- (410) 575-1255
Authorized Official
- Name
- WILLIAM SHAFFER
- Title
- DIRECTOR/OWNER
- Phone
- (443) 559-4137
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner |
| Nurse Practitioner - Family — Family |
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