# TED K MATUSZEWSKI MD PROF CORP

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1558676106
- **Authorized official:** TED K MATUSZEWSKI MD (OWNER)
- **Authorized official phone:** (775) 885-9911

## Contact information

- **Practice address:** 4095 N CARSON ST, CARSON CITY, NV 89706-1936
- **Practice address phone:** (775) 885-9911
- **Mailing address:** 4095 N CARSON ST, CARSON CITY, NV 89706-1936
- **Mailing address phone:** (775) 885-9911

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 6674 | NV | Yes |

## Other

- **Enumeration date:** 08/06/2010
- **Last updated:** 02/16/2011