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Individual

DR. TODD G MATROS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3705 OLENTANGY RIVER RD, SUITE 100, COLUMBUS, OH 43214-3467
(614) 262-6772
(614) 447-2752
Mailing address
5350 FRANTZ RD, DUBLIN, OH 43016-4259

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
35095900
OH
207RC0000X
Cardiovascular Disease Physician
0101226323
VA
207RC0000X
Cardiovascular Disease Physician
Primary
35.095900
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
010061601
VA
05
3082631
OH
Enumeration date
06/28/2005
Last updated
02/25/2015
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