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DR. LUIS ANGEL MATOS M.D., MBA

Allergy

Forest, Virginia

Provider NPI: 1972506509

Provider Information:
DR. LUIS ANGEL MATOS M.D., MBA


Practice Location:
1019A VISTA PARK DR  FOREST, VA 24551 US
Tel: 434-515-0419  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207KA0200XPhysicians
Allergy & Immunology
Allergy
VA0101056392
N208000000XPhysicians
Pediatrics
VA0101056392
N2080P0201XPhysicians
Pediatrics
VA0101056392

Other Provider Identifiers:

IssuerNumberStateType
5804426VA05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




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