Provider Demographics
NPI:1245515048
Name:MATRIANO, JOHN PAUL HERNANDEZ (MD)
Entity type:Individual
Prefix:
First Name:JOHN PAUL
Middle Name:HERNANDEZ
Last Name:MATRIANO
Suffix:
Gender:M
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:PO BOX 7068
Mailing Address - Street 2:BAYVIEW PHYSICIANS GROUP
Mailing Address - City:PORTSMOUTH
Mailing Address - State:VA
Mailing Address - Zip Code:23707-0068
Mailing Address - Country:US
Mailing Address - Phone:757-686-3508
Mailing Address - Fax:757-686-0541
Practice Address - Street 1:3241 WESTERN BRANCH BLVD
Practice Address - Street 2:BAYVIEW PHYSICANS GROUP
Practice Address - City:CHESAPEAKE
Practice Address - State:VA
Practice Address - Zip Code:23321-5260
Practice Address - Country:US
Practice Address - Phone:757-686-3508
Practice Address - Fax:757-686-0541
Is Sole Proprietor?:No
Enumeration Date:2011-10-13
Last Update Date:2014-08-27
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Provider Licenses
StateLicense IDTaxonomies
VA0101255652207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine