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NPI Code Detail

MEDICARE: DR. MATTHEW E KARLOVSKY MD

MEDICARE: DR. MATTHEW E KARLOVSKY 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
1174400000XSpecialist33566AZ
22088F0040XUrogynecology and Reconstructive Pelvic Surgery (Urology) Physician33566AZ
3208800000XUrology Physician33566AZ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1568450666
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MATTHEW E KARLOVSKY MD
Provider Business Mailing Address
First Line : 25 CROSSROADS DR STE 306
Second Line :
City : OWINGS MILLS
State : MD
Zip : 21117-5437
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2530 E SOUTHERN AVE
Second Line :
City : MESA
State : AZ
Zip : 85204-5411
Country : US
Telephone Number : 480-834-4188
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/12/2005
Last Update Date : 10/02/2024

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Directions to “ DR. MATTHEW E KARLOVSKY MD” Practice Location

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