Provider Demographics
NPI:1366733768
Name:TAO, MATTHEW ALAN (MD)
Entity type:Individual
Prefix:DR
First Name:MATTHEW
Middle Name:ALAN
Last Name:TAO
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:985640 NEBRASKA MEDICAL CENTER
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68198-5640
Mailing Address - Country:US
Mailing Address - Phone:402-559-8000
Mailing Address - Fax:402-559-5511
Practice Address - Street 1:535 E 70TH ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10021-4823
Practice Address - Country:US
Practice Address - Phone:212-774-2302
Practice Address - Fax:212-606-1477
Is Sole Proprietor?:No
Enumeration Date:2011-04-20
Last Update Date:2017-07-17
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY282667207XX0005X
NE29988207XX0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XX0005XAllopathic & Osteopathic PhysiciansOrthopaedic SurgerySports Medicine