Provider Demographics
NPI:1871791772
Name:MATTHEWS, ANDREA MICHELLE (MD)
Entity type:Individual
Prefix:DR
First Name:ANDREA
Middle Name:MICHELLE
Last Name:MATTHEWS
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:1630 MAIN STREET
Mailing Address - Street 2:SUITE #101
Mailing Address - City:CHESTER
Mailing Address - State:MD
Mailing Address - Zip Code:21619-9998
Mailing Address - Country:US
Mailing Address - Phone:410-604-6560
Mailing Address - Fax:410-643-5789
Practice Address - Street 1:1630 MAIN STREET
Practice Address - Street 2:SUITE #101
Practice Address - City:CHESTER
Practice Address - State:MD
Practice Address - Zip Code:21619-9998
Practice Address - Country:US
Practice Address - Phone:410-604-6560
Practice Address - Fax:410-643-5789
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-03
Last Update Date:2024-07-17
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Provider Licenses
StateLicense IDTaxonomies
DEC1-0009446207Q00000X
MDD0077299207Q00000X
SCLL29786207Q00000X
SC29786207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine