# DR. MATTHEW JOHN STANISHEWSKI

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1447571559
- **Gender:** Man
- **Credential:** D.O.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | DO00758 | RI | — |
| 207R00000X | Internal Medicine Physician | OT013569 | PA | — |
| 207RR0500X | Rheumatology Physician | 032.0110465 | VT | Yes |

## Other

- **Enumeration date:** 06/13/2010
- **Last updated:** 08/12/2024
