Park, Matthew

Park, Matthew is an individual health care provider with primary practice located at 305 Hospital Dr Suite 305 Tate Center, Glen Burnie MD 21061-5805. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pulmonary Disease, Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Infectious Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Park, Matthew can be contacted via phone (410) 768-3701.

Contact Information

Primary practice address
305 Hospital Dr Suite 305 Tate Center Glen Burnie MD 21061-5805
Phone: (410) 768-3701
Fax: (410) 766-0881
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X D0047575 Maryland
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X D47575 Maryland
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X D47575 Maryland

Profile Details

NPI number 1437114451
LBN Legal business name Park, Matthew
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 20th, 2006
Last updated Sep 18th, 2008 - about 17 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1437114451 NPPES
Maryland MEDICAID 405189100

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