MATCLINIC PHYSICIANS PRACTICE GROUP LLC
NPI 1104375294
Internal Medicine - Addiction Medicine in Dundalk, MD

Q: What is Matclinic Physicians Practice Group LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Addiction Medicine, with taxonomy code 207RA0401X.

Active since September 29, 2016

40 S DUNDALK AVE STE 400, DUNDALK, MD 21222(410) 220-0780(410) 862-0150 Get Directions Write a Review

NPPES record last updated: May 11, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 11, 2022, Jan 14, 2021, Aug 7, 2020 and 7 more (10 updates tracked since 2016).

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About Matclinic Physicians Practice Group Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MATCLINIC PHYSICIANS PRACTICE GROUP LLC (NPI 1104375294) is a healthcare organization registered as an addiction medicine in Dundalk, Maryland and active in the NPI registry since September 2016. The organization lists Daniel Reck, Manager, as its authorized official.

NPPES Registry Identity

NPI1104375294

Entity TypeOrganization

Primary Taxonomy207RA0401X

Legal Business NameMATCLINIC PHYSICIANS PRACTICE GROUP LLC

Location Address40 S DUNDALK AVE STE 400Dundalk, MD 21222

Mailing AddressPo Box 9068Baltimore, MD 21222-0768 · (410) 220-0720 · Fax (410) 862-0150

Phone(410) 220-0780

Fax(410) 862-0150

Organization SubpartNo

Authorized OfficialDaniel ReckManager · (410) 220-0780

Enumeration DateSeptember 29, 2016

Last NPPES UpdateMay 11, 202210 updates tracked since enumeration

NPPES CertifiedMay 11, 2022

✔ NPI 1104375294 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 7

★ Primary SpecialtyInternal Medicine · Addiction MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207RA0401X

Definition

An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine.

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X

Also ListedCounselor · ProfessionalTaxonomy 101YP2500X

Also ListedPsychiatry & Neurology · Addiction MedicineTaxonomy 2084A0401X

Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X

Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X

40 S DUNDALK AVE STE 400, Dundalk, MD 21222

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Other Identifiers 1

Medicaid357117300MD

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MATCLINIC PHYSICIANS PRACTICE GROUP LLC

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