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1508493180
MD MATT LLC
GLEN BURNIE, MD
NPI
1508493180
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Entity Type
Organization
Authorized Contact
WILLIAM SHAFFER
Director
443-559-4137
Organization Subpart ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
Enumeration Date
2020-03-24
Last Update Date
2020-03-24
Business Address
MD MATT LLC
12 CRAIN HWY N
GLEN BURNIE, MD 21061-3565
Phone number: 410-575-1255
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Mailing Address
MD MATT LLC
225 S CASTLE ST
BALTIMORE, MD 21231-2602
Phone number: 443-220-6122
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