Search › Maryland › 363LF0000X
Colleen Matulaitis, NP
NPI 1609258664 · on the registry since 2015
Practice
- Address
- 11101 Cathage Rd.
Suite 102
Berlin, MD 21811 - Phone
- (410) 912-6104
- Fax
- (410) 912-6105
- Organisation at this address
- Tidalhealth Primary Care, Llc
Tidalhealth Specialty Care, Llc
Tidalhealth Peninsula Regional, Inc.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 11
Additional practice sites
- 1310 Belmont Ave Ste 302, Salisbury, MD
Registry record
- Primary taxonomy
- 363LF0000X
363LF0000X
- Licence states on file
- MD
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-07-21
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Maryland