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Contact Information

MATTHEW P KICZEK, DO
600 N WOLFE ST
BALTIMORE, MD21287
 Phone: 410-955-5000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
 

Neuroradiology

2085N0700X
Indicates primary specialty

NPI Profile & details for MATTHEW P KICZEK · (Male)

NPI # 1467794446
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 03/18/2013
Last updated 07/24/2019 - About 7 years ago
Sole proprietor 1 Yes
Identifiers
  • MD License # H87203
  • MD Other H87203 LICENSE
Hospital affiliation(s)
  • ASHTABULA COUNTY MEDICAL CENTER - (Acute Care)
    2420 LAKE AVENUE
    ASHTABULA, OH 44004
  • CLEVELAND CLINIC - (Acute Care)
    9500 EUCLID AVENUE
    CLEVELAND, OH 44195
  • FAIRVIEW HOSPITAL - (Acute Care)
    18101 LORAIN AVENUE
    CLEVELAND, OH 44111
  • HILLCREST HOSPITAL - (Acute Care)
    6780 MAYFIELD ROAD
    MAYFIELD HEIGHTS, OH 44124
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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