Individual
MATTHEW LETKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1389 W MAIN STREET, SUITE 120, WATERBURY, CT 06708-3104
(203) 573-9418
(203) 573-8523
Mailing address
1389 W MAIN ST STE 120, WATERBURY, CT 06708-3104
(203) 573-9418
(203) 573-8523
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
1996
CT
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001168939
—
CT
Enumeration date
09/07/2007
Last updated
04/20/2026
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