MEDICARE: JAMES P MATTHEWS M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	D0059665	MD

General Provider Information

NPI Number	:	1649241290
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAMES P MATTHEWS M.D.

Provider Business Mailing Address
First Line	:	301 STEEPLE CHASE DR STE 108
Second Line	:
City	:	PRINCE FREDERICK
State	:	MD
Zip	:	20678-4050
Country	:	US
Telephone Number	:	443-295-7215
Fax Number	:	877-902-7671

Provider Business Practice Location Address
First Line	:	301 STEEPLE CHASE DR STE 108
Second Line	:
City	:	PRINCE FREDERICK
State	:	MD
Zip	:	20678-4050
Country	:	US
Telephone Number	:	443-295-7215
Fax Number	:	877-902-7671

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/31/2006
Last Update Date	:	08/29/2023

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