Individual
DR. RICHARD J MATUSZCZAK
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
313 MAPLE ST, EAST LONGMEADOW, MA 01028-2763
(413) 525-0225
(413) 525-8839
Mailing address
313 MAPLE ST, EAST LONGMEADOW, MA 01028-2763
(413) 525-0225
(413) 525-8839
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
CT000635
CT
111N00000X
Chiropractor
Primary
MA 1138
MA
111N00000X
Chiropractor
NJ38MC000606000
NJ
111N00000X
Chiropractor
X011065-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1610325
—
MA
01
—
210562
ACN
MA
01
—
Y35816
BLUE CROSS/BLUE SHIELD
MA
Enumeration date
07/07/2005
Last updated
07/08/2007
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