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Individual
JORDAN MATUS
Active
Individual
JORDAN MATUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2084P0015X
Psychosomatic Medicine Physician
390200000X
NY
2084P0015X
Psychosomatic Medicine Physician
Primary
DR.0057182
CO
Other
Enumeration date
07/22/2011
Last updated
08/03/2016
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