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Individual
DR. PHILIP ANDREW MATORIN
Active
Individual
DR. PHILIP ANDREW MATORIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
J0103
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
038176601
—
TX
05
—
183307101
—
TX
01
—
741800693
UNITED HEALTHCARE
—
01
—
86042Z
RENNAISANCE IPA
TX
01
—
8V1030
BLUE CROSS
—
Enumeration date
08/11/2005
Last updated
04/26/2021
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