| Doctor Name: | DR. MATTHEW SMOLKIN |
| NPI Number: | 1689747792 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | 10853 |
| Business Practice Address: | 101 Stadium Dr Morgantown, WV - 265067911 |
| Business Phone Number: | 3042933212 |
| Business Fax Number: | 3042931627 |
| Mailing Address: | Po Box 780, MORGANTOWN |
| State: | WV |
| Postal Code: | 265070780 |
| Phone Number: | 3042857101 |
| Fax Number: | |
| NPI Enumeration Date: | 11/16/2006 |
| NPI Last Update Date: | 04/10/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 174400000X |
| License Number: | 10853 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MT |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Specialist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |