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Individual

ANTON MATVEEV

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1737 KING ST STE 110, ALEXANDRIA, VA 22314-2727
(240) 754-7954
Mailing address
1737 KING ST STE 110, ALEXANDRIA, VA 22314-2727

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
0101275750
VA
208100000X
Physical Medicine & Rehabilitation Physician
D94668
MD

Other

Enumeration date
05/25/2017
Last updated
10/11/2022
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