Individual
NICHOLAS PHILIP MATARAZZO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
156 KINGS HWY N, WESTPORT, CT 06880-2440
(203) 221-7337
(203) 291-0830
Mailing address
156 KINGS HWY N, WESTPORT, CT 06880-2440
(203) 221-7337
(203) 291-0830
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
054195
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/11/2012
Last updated
07/14/2015
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