Individual
MISS DEBORA MATOSSIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2080P0210X
Pediatric Nephrology Physician
Primary
15670
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036122175
—
IL
Enumeration date
09/08/2008
Last updated
08/05/2026
Update your record
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