Individual provider · Type 1 NPI

Matthew Raymond Monaco, MD

Student in an Organized Health Care Education/Training Program · Marietta, GA

NPI number 1790315083 Active

Practice location

677 Church St NE
Marietta, GA 30060-1101

Other practice locations

  • 5502 Marvin Shields Blvd, Gulfport, MS 39501 · (678) 770-0584
  • 2122 Longfellow Rd, Yorktown, VA 23691-5118 · (757) 968-1178
  • 620 John Paul Jones Cir Ste 275, Portsmouth, VA 23708-2197 · (757) 953-5000

Specialties and licenses

TaxonomyCodeLicense
Military Health Care Provider 171000000X0101272955 (VA)
General Practice Physician 208D00000X0101272955 (VA)
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1790315083

Matthew Raymond Monaco, MD's National Provider Identifier is 1790315083, issued on Jan 25, 2020. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Marietta, GA. The record was last updated on Apr 28, 2025.