Individual
MATTHEW ALAN SLEBODA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
145 POMFRET ST, PUTNAM, CT 06260-1803
(860) 928-5248
Mailing address
145 POMFRET ST, PUTNAM, CT 06260-1803
(860) 928-5248
(860) 928-5286
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
002248
CT
Other
Enumeration date
04/17/2009
Last updated
04/02/2015
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