Individual
JONATHAN MATZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5430 CAMPBELL BLVD STE 103, WHITE MARSH, MD 21162-5503
(410) 933-9404
(410) 933-9405
Mailing address
5430 CAMPBELL BLVD STE 103, WHITE MARSH, MD 21162-5503
(410) 933-9404
(410) 933-9405
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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