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Individual
MATTHEW J LOTYSCH
Active
Individual
MATTHEW J LOTYSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
Primary
G39962
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G399620
BLUE SHIELD OF CA
—
05
—
00G399620
—
CA
01
—
00G399620E02
CALOPTIMA
—
01
—
P00407406
RAILROAD MEDICARE
—
Enumeration date
01/24/2007
Last updated
08/15/2008
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