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1619583200
MD MATT LLC
FREDERICK, MD
NPI
1619583200
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Entity Type
Organization
Authorized Contact
WILLIAM SHAFFER
Owner
443-220-6122
Organization Subpart ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
Enumeration Date
2020-09-18
Last Update Date
2024-07-16
Business Address
MD MATT LLC
309 E PATRICK ST
FREDERICK, MD 21701-6792
Phone number: 240-292-1088
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Mailing Address
MD MATT LLC
10220 S DOLFIELD RD STE 106
OWINGS MILLS, MD 21117-3660
Phone number: 443-559-4137
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