Individual
DR. MATTHEW R NOORDSIJ-JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2351 STANLEY AVE, DAYTON, OH 45404-1201
(937) 228-0990
Mailing address
1323 W 3RD ST, DAYTON, OH 45402-6714
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
57.012055
OH
208000000X
Pediatrics Physician
57.012055
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3062699
—
OH
Enumeration date
04/18/2007
Last updated
06/30/2014
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