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Individual

DR. ISMAEL A. MATUS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4745 OGLETOWN-STANTON ROAD, SUITE 220, NEWARK, DE 19713-2074
(302) 623-7600
(302) 366-1240
Mailing address
200 HYGEIA DRIVE, CCHS PHYSICIAN CONTRACTING, SUITE 2300, NEWARK, DE 19713-2049

Taxonomy

Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
C1-0011711
DE
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
MD00045925
WA
207RP1001X
Pulmonary Disease Physician
Primary
C1-0011711
DE
207RP1001X
Pulmonary Disease Physician
MD00045925
WA

Other

Enumeration date
05/10/2006
Last updated
06/07/2016
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