MEDICARE: JOSEPH MATUS DO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	OS006497L	PA

General Provider Information

NPI Number	:	1144257494
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOSEPH MATUS DO

Provider Business Mailing Address
First Line	:	PO BOX 783311
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19178-3311
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	333 NORMAL AVE
Second Line	:	SUITE 201
City	:	KUTZTOWN
State	:	PA
Zip	:	19530-1640
Country	:	US
Telephone Number	:	610-683-8363
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/26/2006
Last Update Date	:	01/13/2016

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