| Matclinic Physicians Practice Group Llc | |
|
40 S Dundalk Ave Ste 400 Dundalk MD 21222-4273 | |
| (410) 220-0780 | |
| (410) 862-0150 |
| Full Name | Matclinic Physicians Practice Group Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 40 S Dundalk Ave Ste 400, Dundalk, Maryland |
| Authorized Official Name and Position | Daniel 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 40 S Dundalk Ave Ste 400 Dundalk MD 21222-4273 Ph: (410) 220-0780 |
| NPI Number | 1720637747 |
|---|---|
| Provider Enumeration Date | 09/11/2019 |
| Last Update Date | 05/11/2022 |
| Certification Date | 05/11/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720637747 | NPI | - | NPPES |
| 190809056 | Other | MD | DEPT OF HEALTH, BEHAVIORAL HEALTH ADMIN |
| 444186900 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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