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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 |
