Provider Demographics
NPI:1275655912
Name:MALAMET, MATTHEW DAVID (MD)
Entity Type:Individual
Prefix:DR
First Name:MATTHEW
Middle Name:DAVID
Last Name:MALAMET
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:11110 MEDICAL CAMPUS RD STE 241
Mailing Address - Street 2:
Mailing Address - City:HAGERSTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:21742-6756
Mailing Address - Country:US
Mailing Address - Phone:301-714-4460
Mailing Address - Fax:
Practice Address - Street 1:11110 MEDICAL CAMPUS RD STE 241
Practice Address - Street 2:
Practice Address - City:HAGERSTOWN
Practice Address - State:MD
Practice Address - Zip Code:21742-6756
Practice Address - Country:US
Practice Address - Phone:301-714-4460
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-04
Last Update Date:2022-11-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NE32031208200000X
CAA121376208200000X
NY259123208200000X
MI4301082483208600000X
MDD0093554208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery
No208600000XAllopathic & Osteopathic PhysiciansSurgery