Individual
REI MATSUMOTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1215 LEE ST, CHARLOTTESVILLE, VA 22908-0816
(434) 924-3627
Mailing address
PO BOX 749112, ATLANTA, GA 30374-9112
(434) 295-1000
Taxonomy
Speciality
Code
Description
License number
State
204F00000X
Transplant Surgery Physician
Primary
0109542134
VA
204F00000X
Transplant Surgery Physician
315188-01
NY
208600000X
Surgery Physician
315188-01
NY
Other
Enumeration date
06/24/2022
Last updated
06/30/2025
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