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Individual

CORAL D MATUS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
3333 GLENDALE AVE, TOLEDO, OH 43614-2426
(419) 383-5555
(419) 383-3113
Mailing address
3000 ARLINGTON AVE STOP 118, TOLEDO, OH 43614-2595

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35071471
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000030643
ANTHEM MEDICAID
OH
01
0104383
UNITED
OH
01
142072
CARE CHOICES
OH
01
142109
PRIORITY HEALTH
MI
05
2071092
OH
01
26094
NATIONWIDE
OH
01
344428256
PHCS
MI
01
344428256
BEECH STREET
OH
01
5030651
PPOM
MI
01
5030651
AETNA
OH
01
6898
HPM
MI
01
7155935002
CIGNA
OH
Enumeration date
06/27/2005
Last updated
01/13/2026
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