OrganizationActive
Matclinic Physicians Practice Group LLC
NPI 1023607991 · Addiction Medicine (Internal Medicine) Physician · Havre De Grace, MD
Provider details
- NPI number
- 1023607991
- Entity type
- Organization
- Primary specialty
- Addiction Medicine (Internal Medicine) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Dan Reck, Manager(410) 220-0720
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
- Mental Health Counselor101YM0800X
Behavioral Health & Social Service Providers
- Professional Counselor101YP2500X
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
253 Lewis Ln Ste 201
Havre De Grace, MD 21078-3756
Phone: (410) 220-0720
Fax: (410) 862-0150
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 9068
Baltimore, MD 21222-0768
Registry dates
- Enumerated
- 2021-01-14
- Last updated
- 2025-12-10
- Certified
- 2025-12-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.