Individual
JOSE LUIS MATTOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., M.P.H.
Contact information
Practice address
415 RAY C. HUNT DR STE 2200, CHARLOTTESVILLE, VA 22903-0001
(434) 924-5700
(434) 924-1736
Mailing address
PO BOX 9007, CHARLOTTESVILLE, VA 22906-9007
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
0101262479
VA
Other
Enumeration date
06/14/2011
Last updated
08/10/2023
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