Matas, Marichu Theresa A.
Matas, Marichu Theresa A. is an individual health care provider with primary practice located at 10110 Molecular Drive Suite 206, Rockville MD 20850-7542. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is her primary health care specialty. Matas, Marichu Theresa A. can be contacted via phone (301) 279-2779.Contact Information
Primary practice address
10110 Molecular Drive Suite 206
Rockville MD 20850-7542
Phone: (301) 279-2779
Fax: (240) 403-0190
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | D0069148 | Maryland |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | D69148 | Maryland |
Profile Details
| NPI number | 1558526228 |
|---|---|
| LBN Legal business name | Matas, Marichu Theresa A. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 22nd, 2008 |
| Last updated | Sep 18th, 2017 - about 8 years ago |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1558526228 | NPPES |
| Maryland | MEDICAID | 026406700 | |
| Maryland | MEDICAID | 404776100 |
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