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Robert Paul Matusz

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NPI Number Detailed Information

Provider Information:

Name: Robert Paul Matusz
Gender: M
Provider License Number If Given: 121

NPI Information:

NPI: 1316931843
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 9/12/2005

Last Update Date: 7/5/2013

Provider Business Mailing Address:

Address: 156 MEADOW ST
Naugatuck, CT 06770
Phone Number: 2037284714
Fax Number: 2037299046

Provider Business Practice Location Address:

Address: 156 MEADOW ST
Naugatuck, CT 06770
Phone Number: 2037284714
Fax Number: 2037299046

Provider Taxonomy:

Primary: 213E00000X
Secondary (if any): 332B00000X
State: CT

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