Provider Demographics
NPI:1457675423
Name:WHITSON, MATTHEW JAMES (MD)
Entity Type:Individual
Prefix:DR
First Name:MATTHEW
Middle Name:JAMES
Last Name:WHITSON
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:300 COMMUNITY DRIVE - GASTROENTEROLOGY
Mailing Address - Street 2:4TH FLOOR, LEVITT BUILDING
Mailing Address - City:MANHASSET
Mailing Address - State:NY
Mailing Address - Zip Code:11030
Mailing Address - Country:US
Mailing Address - Phone:516-387-3990
Mailing Address - Fax:516-387-3930
Practice Address - Street 1:300 COMMUNITY DRIVE - GASTROENTEROLOGY
Practice Address - Street 2:4TH FLOOR, LEVITT BUILDING
Practice Address - City:MANHASSET
Practice Address - State:NY
Practice Address - Zip Code:11030
Practice Address - Country:US
Practice Address - Phone:516-387-3990
Practice Address - Fax:516-387-3930
Is Sole Proprietor?:No
Enumeration Date:2010-03-19
Last Update Date:2016-09-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NYMD453799207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine