Healthcare Provider Details

I. General information

NPI: 1033114616
Provider Name (Legal Business Name): MATTHEW H RECHT MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/20/2005
Last Update Date: 03/25/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10506 MONTGOMERY RD STE 302
CINCINNATI OH
45242-4400
US

IV. Provider business mailing address

10506 MONTGOMERY RD STE 302
CINCINNATI OH
45242-4400
US

V. Phone/Fax

Practice location:
  • Phone: 513-865-9898
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number35083944
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code2086S0129X
TaxonomyVascular Surgery Physician
License Number35083944
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: