Individual
MATTHEW ROBERTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1525 KINGS HWY, SUITE 206, FAIRFIELD, CT 06824-5321
(203) 220-6595
Mailing address
1525 KINGS HWY, SUITE 206, FAIRFIELD, CT 06824-5321
(203) 220-6595
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
002379
CT
Other
Enumeration date
02/08/2014
Last updated
02/08/2014
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