Matthew J Malta Md Pa | |
132 Holiday Ct Suite 201 Annapolis MD 21401-7005 | |
(410) 573-2477 | |
(410) 573-2478 |
Full Name | Matthew J Malta Md Pa |
---|---|
Speciality | Internal Medicine |
Location | 132 Holiday Ct, Annapolis, Maryland |
Authorized Official Name and Position | Matthew J Malta (PHYSICIAN OWNER) |
Authorized Official Contact | 4105732477 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Matthew J Malta Md Pa Po Box 13830 Belfast ME 04915-4029 Ph: (410) 573-2477 | Matthew J Malta Md Pa 132 Holiday Ct Suite 201 Annapolis MD 21401-7005 Ph: (410) 573-2477 |
NPI Number | 1902874472 |
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Provider Enumeration Date | 03/10/2006 |
Last Update Date | 11/30/2015 |
Medicare PECOS PAC ID | 3779640172 |
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Medicare Enrollment ID | O20090331000076 |
Identifier | Type | State | Issuer |
---|---|---|---|
1902874472 | NPI | - | NPPES |
0M93MJ | Other | BCBS | |
483902100 | Medicaid | MD | |
5719 | Other | BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Matthew J Malta |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1780673095 PECOS PAC ID: 5193741189 Enrollment ID: I20051019000554 |
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