Individual
JAROSLAW MATEUSZCZYK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
11196
ND
207R00000X
Internal Medicine Physician
4301082045
MI
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
11196
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10503
—
ND
05
—
1458922
—
ND
Enumeration date
10/17/2006
Last updated
07/11/2022
Update your record
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