Individual
DR. CHARLES CHRISTIAN MATOUK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
800 HOWARD AVE, LOWER LEVEL, NEUROSCIENCE CENTER, NEW HAVEN, CT 06519-1369
(203) 737-2096
(203) 785-2044
Mailing address
PO BOX 208082, 333 CEDAR STREET, TMP 402, YALE UNIVERSITY, DEPARTMENT OF NEUROSURGERY, NEW HAVEN, CT 06510-3206
(203) 737-2096
(203) 785-2044
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
50158
CT
Other
Enumeration date
10/20/2011
Last updated
09/19/2012
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