King, Matthew John

King, Matthew John is an individual health care provider with primary practice located at 404 Thames St , Groton CT 06340-3959. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. King, Matthew John can be contacted via phone (860) 445-0494.

Contact Information

Primary practice address
404 Thames St Groton CT 06340-3959
Phone: (860) 445-0494
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 078842 Connecticut

Profile Details

NPI number 1821679697
LBN Legal business name King, Matthew John
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 14th, 2021
Last updated Jul 8th, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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