OrganizationActive
Matclinic Physicians Practice Group LLC
NPI 1356801534 · Addiction Medicine (Internal Medicine) Physician · Annapolis, MD
Provider details
- NPI number
- 1356801534
- Entity type
- Organization
- Primary specialty
- Addiction Medicine (Internal Medicine) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Dan Reck, Manager(410) 220-0780
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Behavioral Health & Social Service Providers
- Mental Health Counselor101YM0800X
Behavioral Health & Social Service Providers
- Professional Counselor101YP2500X
Behavioral Health & Social Service Providers
Allopathic & Osteopathic Physicians
- Psychiatry Physician2084P0800X
Allopathic & Osteopathic Physicians
Practice location
107 Ridgely Ave Ste 12
Annapolis, MD 21401-1417
Phone: (410) 220-0780
Fax: (410) 862-0150
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 9068
Baltimore, MD 21222-0768
Registry dates
- Enumerated
- 2019-03-22
- Last updated
- 2022-05-11
- Certified
- 2022-05-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.