Individual
DR. STANLEY A MATOS
Active
Individual
DR. STANLEY A MATOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
35080528
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050083463
RAILROAD MEDICARE
OH
01
—
104076504
MICHIGAN MEDICAID
MI
05
—
2299285
—
OH
Enumeration date
07/12/2005
Last updated
11/03/2023
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