Matthew Bradford Upton in South Charleston - Internal Medicine

Matthew Bradford Upton - NPI 1972563401

Matthew Bradford Upton is a Internal Medicine in South Charleston, . Matthew Bradford Upton practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Matthew Bradford Upton is 1972563401. The last update date is 2021-01-11.

Matthew Bradford Upton's current location address is 4605 Maccorkle Ave Sw, South Charleston, . You can contact this provider via phone number 3044144800 and fax number 3044144801. The mailing address for Matthew Bradford Upton is 4605 Maccorkle Ave Sw, South Charleston, . To know further, please read the information below!

Provider Profile Detail

Provider Name Matthew Bradford Upton
Address 4605 Maccorkle Ave Sw, South Charleston,
Phone Number 3044144800
Fax Number 3044144801
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1972563401
Provider Enumeration Date 2006-03-27
Last Updated Date 2021-01-11

Provider Mailing Address Detail

Address 4605 Maccorkle Ave Sw
City South Charleston
State (WV)
Post Code 253091311
Phone Number 3044144800
Fax Number 3044144801

Provider's Primary Taxonomy Detail

Speciality Internal Medicine
Taxonomy 207R00000X
Licence No 18216
Definition:
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di

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FAQs about Matthew Bradford Upton

What is the Matthew Bradford Upton's unique identification number?

The Matthew Bradford Upton has been assigned the NPI (National Provider Identifier) Number 1972563401 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you share the physical location details of Matthew Bradford Upton?

The Matthew Bradford Upton is situated at 4605 Maccorkle Ave Sw, in the city of South Charleston, state of WV, with the zip code 253091311.

What is Matthew Bradford Upton's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Matthew Bradford Upton is Internal Medicine, and the taxonomy code that categorizes this field of expertise is 207R00000X.

On what date did Matthew Bradford Upton receive its 1972563401 assignment from the Centers for Medicare & Medicaid Services?

The Matthew Bradford Upton was assigned its 1972563401 on 2006-03-27, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the Matthew Bradford Upton's details last updated?

The information pertaining to the Matthew Bradford Upton, including its address, specialty, and other details, was most recently updated on 2021-01-11.

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