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NPI Code Detail

MEDICARE: DR. MATTHEW R HADEN M.D.

MEDICARE: DR. MATTHEW R HADEN 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
1207Q00000XFamily Medicine Physician25412NE
2207Q00000XFamily Medicine PhysicianMD042218DC
3207Q00000XFamily Medicine Physician38110AZ
4207Q00000XFamily Medicine Physician0101256099VA

General Provider Information

NPI Number : 1851426092
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MATTHEW R HADEN M.D.
Provider Business Mailing Address
First Line : 2201 MOUNT VERNON AVE
Second Line : SUITE 105
City : ALEXANDRIA
State : VA
Zip : 22301-1313
Country : US
Telephone Number : 888-765-1444
Fax Number : 866-895-6753
Provider Business Practice Location Address
First Line : 2201 MOUNT VERNON AVE
Second Line : SUITE 105
City : ALEXANDRIA
State : VA
Zip : 22301-1313
Country : US
Telephone Number : 888-765-1444
Fax Number : 866-895-6753
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/21/2007
Last Update Date : 10/07/2021

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