Provider Demographics
NPI:1770664898
Name:CORBETT, MATTHEW W (MD)
Entity Type:Individual
Prefix:
First Name:MATTHEW
Middle Name:W
Last Name:CORBETT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:3841 PIPER ST
Mailing Address - Street 2:SUITE T100
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99508-4624
Mailing Address - Country:US
Mailing Address - Phone:907-561-3211
Mailing Address - Fax:907-562-7547
Practice Address - Street 1:121 MEDICAL CENTER DR STE 3100
Practice Address - Street 2:
Practice Address - City:BRUNSWICK
Practice Address - State:ME
Practice Address - Zip Code:04011-2672
Practice Address - Country:US
Practice Address - Phone:207-844-4878
Practice Address - Fax:207-725-4717
Is Sole Proprietor?:No
Enumeration Date:2006-10-17
Last Update Date:2022-06-06
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
AK4788207RC0000X
ME016451207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
AK1008794Medicaid
AKP00654453OtherRAILROAD MEDICARE
AKP00654453OtherRAILROAD MEDICARE