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Individual
ROBERT PAUL MATUSZ
Active
Individual
ROBERT PAUL MATUSZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
000121
CT
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004006318
—
CT
01
—
030000121CT01
BCBS OF CT
—
Enumeration date
09/12/2005
Last updated
07/05/2013
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