MEDICARE: GAIL M. MATTHEWS MD

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	174400000X	Specialist	184438-1	NY
2	174400000X	Specialist	25MA08199000	NJ
3	207VM0101X	Maternal & Fetal Medicine Physician	38285	KY
4	207VM0101X	Maternal & Fetal Medicine Physician	0101040559	VA

General Provider Information

NPI Number	:	1144243775
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GAIL M. MATTHEWS MD

Provider Business Mailing Address
First Line	:	1250 E MARSHALL ST
Second Line	:
City	:	RICHMOND
State	:	VA
Zip	:	23298-5023
Country	:	US
Telephone Number	:	804-828-7877
Fax Number	:

Provider Business Practice Location Address
First Line	:	1250 E MARSHALL ST
Second Line	:
City	:	RICHMOND
State	:	VA
Zip	:	23298-5023
Country	:	US
Telephone Number	:	804-828-7877
Fax Number	:

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

Provider Enumeration Date	:	07/25/2006
Last Update Date	:	04/25/2022

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