Provider Demographics
NPI:1063488450
Name:AIKEN, MATTHEW F (DO)
Entity Type:Individual
Prefix:
First Name:MATTHEW
Middle Name:F
Last Name:AIKEN
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4600 SPOTSYLVANIA PKWY
Mailing Address - Street 2:ATTN: HOSPITALISTS OFFICE
Mailing Address - City:FREDERICKSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22408-7762
Mailing Address - Country:US
Mailing Address - Phone:540-498-4950
Mailing Address - Fax:540-498-4959
Practice Address - Street 1:4600 SPOTSYLVANIA PKWY
Practice Address - Street 2:ATTN: HOSPITALISTS OFFICE
Practice Address - City:FREDERICKSBURG
Practice Address - State:VA
Practice Address - Zip Code:22408-7762
Practice Address - Country:US
Practice Address - Phone:540-498-4950
Practice Address - Fax:540-498-4959
Is Sole Proprietor?:No
Enumeration Date:2006-02-24
Last Update Date:2010-12-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA0102201615207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA541951145OtherMID ATLANTIC SOLUTIONS
VA010187982Medicaid
VA541951145OtherMID ATLANTIC SOLUTIONS
VA008282P55Medicare ID - Type Unspecified