Provider Demographics
NPI:1780621656
Name:HUEMAN, MATTHEW TIMOTHY (MD)
Entity type:Individual
Prefix:DR
First Name:MATTHEW
Middle Name:TIMOTHY
Last Name:HUEMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:3040 WILLIAMS DR STE 100
Mailing Address - Street 2:
Mailing Address - City:FAIRFAX
Mailing Address - State:VA
Mailing Address - Zip Code:22031-4618
Mailing Address - Country:US
Mailing Address - Phone:571-350-8400
Mailing Address - Fax:703-940-8692
Practice Address - Street 1:44035 RIVERSIDE PKWY STE 310
Practice Address - Street 2:
Practice Address - City:LEESBURG
Practice Address - State:VA
Practice Address - Zip Code:20176-8273
Practice Address - Country:US
Practice Address - Phone:571-350-8400
Practice Address - Fax:703-724-7503
Is Sole Proprietor?:No
Enumeration Date:2006-06-01
Last Update Date:2024-04-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IN01056708A208600000X
DCMD0477452086X0206X
VA0101232968208600000X, 2086X0206X
MDD00661882086X0206X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086X0206XAllopathic & Osteopathic PhysiciansSurgerySurgical Oncology
No208600000XAllopathic & Osteopathic PhysiciansSurgery