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Individual
ROBERT MATALON
Active
Individual
ROBERT MATALON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
094662
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004238453
—
NY
01
—
A400107956
MEDICARE
NY
Enumeration date
07/11/2006
Last updated
09/16/2021
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