Individual
JONATHAN MATZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
Primary
D0043318
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
123991100
—
MD
Enumeration date
05/08/2006
Last updated
01/21/2021
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