institution
Matclinic Physicians Practice Group Llc
Mental Health Clinic/Center (Including Community Mental Health Center) in Annapolis, Maryland
NPI 1316557051

Matclinic Physicians Practice Group Llc is a Mental Health Clinic/Center (Including Community Mental Health Center) based in Baltimore, MD and is specialized in Mental Health (Including Community Mental Health Center). Matclinic Physicians Practice Group Llc practices in Annapolis, MD. The NPI Number for Matclinic Physicians Practice Group Llc is 1316557051 and holds a License No. (Maryland).

The current practice location address for Matclinic Physicians Practice Group Llc is 107 Ridgely Ave Ste 12, Annapolis, MD and can be reached out via phone at 410-220-0780 and via fax at 410-862-0150.

Location: 107 Ridgely Ave Ste 12, Annapolis, MD, 21222-0768
institution
Provider Profile Details
NPI Number
1316557051
Provider Name
Matclinic Physicians Practice Group Llc
Credential
Provider Entity Type
Organization
Address
107 Ridgely Ave Ste 12, Annapolis, MD, 21222-0768
Phone Number
410-220-0780
Fax Number
410-862-0150
Provider Enumeration Date
08/07/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
661011101 05 MD
200710012 01 MD DEPT OF HEALTH, BEHAVIORAL HEALTH ADMIN
institution
Provider Business Practice Location Address Details
Address
107 Ridgely Ave Ste 12
City
State
Zip
21401-1417
Phone Number
410-220-0780
Fax Number
410-862-0150
person
Provider Business Mailing Address Details
Address
107 Ridgely Ave Ste 12
City
State
Zip
21401-1417
Phone Number
410-220-0780
Fax Number
410-862-0150
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
License No.
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Definition
Definition to come...
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