Individual
DR. RONALD A. MATUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
138 RUSSELL ST, HADLEY, MA 01035-9533
(413) 584-6275
(413) 584-5938
Mailing address
138 RUSSELL ST, HADLEY, MA 01035-9533
(413) 584-6275
(413) 584-5938
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12723
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
835867
UNITED CONCORDIA
MA
01
—
X08513
BLUECROSS BLUE SHIELD
MA
Enumeration date
10/19/2005
Last updated
07/08/2007
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