- Practice location
- 401 N Broadway St, Baltimore, MD 21287-0019
- Phone
- 410-955-4053
- Fax
- 410-614-1287
- Last updated
- August 25, 2025
Andres Matoso is a Pathology, Anatomic Pathology & Clinical Pathology based in Baltimore, MD. Andres Matoso practices in Baltimore, MD. The NPI Number for Andres Matoso is 1316129604 and holds a License No. LP01285 (RI). The current practice location address for Andres Matoso is 401 N Broadway St, Baltimore, MD 21287-0019 and can be reached out via phone at 410-955-4053 and via fax at 410-614-1287.
Provider Profile Details
- NPI Number
- 1316129604
- Provider Name
- Andres Matoso
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 401 N Broadway St, Baltimore, MD 21287-0019
- Phone Number
- 410-955-4053
- Fax Number
- 410-614-1287
- Primary Taxonomy
- Pathology, Anatomic Pathology & Clinical Pathology · 207ZP0102X
- Sole Proprietor
- No
- Provider Enumeration Date
- November 29, 2007
- Last Update Date
- August 25, 2025
- Certification Date
- August 25, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 401 N Broadway St
Baltimore, MD 21287-0019 - City
- Baltimore
- State
- Maryland
- Zip
- 21287-0019
- Phone Number
- 410-955-4053
- Fax Number
- 410-614-1287
Provider Business Mailing Address Details
- Address
- 9910 Franklin Square Dr Ste 2110
Baltimore, MD 21236-4902 - City
- Baltimore
- State
- MD
- Zip
- 21236-4902
- Phone Number
- 410-933-6423
License Information
- License Number (1)
- LP01285
- License State (1)
- RI
- Taxonomy (1)
- Pathology, Anatomic Pathology & Clinical Pathology · 207ZP0102X
- License Number (2)
- D73547
- License State (2)
- MD
- Taxonomy (2)
- Pathology, Anatomic Pathology & Clinical Pathology · 207ZP0102X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Dr. Andres Matoso?
The NPI number of Dr. Andres Matoso is 1316129604. It was assigned on November 29, 2007 and is currently active in the NPPES registry.
What is the specialty of Dr. Andres Matoso?
Dr. Andres Matoso is registered under the primary taxonomy Pathology, Anatomic Pathology & Clinical Pathology (code 207ZP0102X), licensed in RI under license number LP01285.
Where does Dr. Andres Matoso practice?
The practice location is 401 N Broadway St, Baltimore, MD 21287-0019. The office can be reached at 410-955-4053 (phone) or 410-614-1287 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1316129604 directly on the NPPES registry website.