Most Relevant Information
Provider Data
| NPI Number: | 1003565557 |
| Provider Name: | MATTHEW BRANDT MD |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 03/22/2022 |
| Last Updated: | 03/22/2022 |
Provider Practice Location
701 W PRATT ST RM 474
BALTIMORE
MD
212011023
Practice Location Phone/Fax
| Phone: | 4103286325 |
| Fax: |
Provider Mailing Location
701 W PRATT ST RM 474
BALTIMORE
MD
212011023
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |