Individual
RICHARD F MATUSZAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RD, LD
Contact information
Practice address
223 N GRAVEL RD, MEDINA, NY 14103-9401
(585) 798-5933
Mailing address
223 N GRAVEL RD, MEDINA, NY 14103-9401
(585) 798-5933
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT07536
TX
Other
Enumeration date
10/12/2007
Last updated
10/12/2007
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