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Individual

DR. MATTHEW COZART VASQUEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
620 JOHN PAUL JONES CIR, PORTSMOUTH, VA 23708-2111
(757) 953-5000
Mailing address
620 JOHN PAUL JONES CIR, PORTSMOUTH, VA 23708-2111

Taxonomy

Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
D0096416
MD
2086S0102X
Surgical Critical Care Physician
0101253443
VA
2086S0127X
Trauma Surgery Physician
Primary
01225324353
VA

Other

Enumeration date
06/27/2011
Last updated
11/18/2025
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