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Individual

MATTHEW JOSEPH JANZEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
7955 SPYGLASS HILL RD STE A, MELBOURNE, FL 32940-8249
(321) 751-3389
(321) 242-2545
Mailing address
800 WASHINGTON ST, BOSTON, MA 02111-1552
(617) 636-5631
(617) 636-2551

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
271225
MA
208100000X
Physical Medicine & Rehabilitation Physician
Primary
ME144592
FL
208100000X
Physical Medicine & Rehabilitation Physician
R-10666
IA

Other

Enumeration date
06/18/2016
Last updated
07/21/2020
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