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Contact Information

MATTHEW H BRUNTEL, DO
15245 SHADY GROVE RD STE 130
ROCKVILLE, MD20850
 Phone: 301-527-1650
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for MATTHEW H BRUNTEL · (Male)

NPI Number 1114102134
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 01/09/2008
Last updated 12/26/2019 - About 6 years ago
Sole proprietor 1 Yes
Identifiers
  • PA License # OS014243
  • MD Medicaid 020449800
Hospital affiliation(s) Not Available
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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