Provider Demographics
NPI:1366503278
Name:MENET, MATTHEW W (MD)
Entity Type:Individual
Prefix:
First Name:MATTHEW
Middle Name:W
Last Name:MENET
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Gender:M
Credentials:MD
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Mailing Address - Street 1:9601 PULASKI PARK DR
Mailing Address - Street 2:SUITE 416
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21220-1409
Mailing Address - Country:US
Mailing Address - Phone:410-933-5678
Mailing Address - Fax:410-933-1823
Practice Address - Street 1:9601 PULASKI PARK DR
Practice Address - Street 2:SUITE 416
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21220-1409
Practice Address - Country:US
Practice Address - Phone:410-933-5678
Practice Address - Fax:410-933-1823
Is Sole Proprietor?:No
Enumeration Date:2006-12-13
Last Update Date:2015-07-07
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Provider Licenses
StateLicense IDTaxonomies
FLTRN6057207X00000X
IL036121600207X00000X
MDD0066348207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery