Individual
DAVID ROBERT MATUSZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.O.
Contact information
Practice address
910 WOLCOTT ST, STORE 3548, WATERBURY, CT 06705-1317
(203) 759-1611
(203) 759-1707
Mailing address
910 WOLCOTT ST, STORE 3548, WATERBURY, CT 06705-1317
(203) 759-1611
(203) 759-1707
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
1582
CT
Other
Enumeration date
05/26/2016
Last updated
05/26/2016
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