Individual
ROBERT MATERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
20 YORK ST, NEW HAVEN, CT 06510-3220
(203) 688-4242
Mailing address
333 CEDAR ST, WWW 205, NEW HAVEN, CT 06510
(203) 688-4242
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
67346
CT
207R00000X
Internal Medicine Physician
LP03957
RI
207R00000X
Internal Medicine Physician
MD16995
RI
207RH0003X
Hematology & Oncology Physician
Primary
1.067346
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/08/2017
Last updated
06/11/2024
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