Healthcare Provider Details

I. General information

NPI: 1073044178
Provider Name (Legal Business Name): MATTHEW AARON APPLEBAUM MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/21/2017
Last Update Date: 04/30/2026
Certification Date: 04/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

937 COX RD
GASTONIA NC
28054-3455
US

IV. Provider business mailing address

1072 X RAY DR STE B
GASTONIA NC
28054-7488
US

V. Phone/Fax

Practice location:
  • Phone: 704-898-8014
  • Fax: 704-898-8018
Mailing address:
  • Phone: 704-671-1094
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208200000X
TaxonomyPlastic Surgery Physician
License Number2023-00072
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: