Organization
STANLEY J MATYASIK DO PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STANLEY J MATYASIK DO (OWNER)
(240) 964-8640
Entity
Organization
Contact information
Practice address
12502 WILLOWBROOK RD STE 400, CUMBERLAND, MD 21502-6567
(240) 964-8640
(301) 722-2785
Mailing address
12502 WILLOWBROOK RD STE 400, CUMBERLAND, MD 21502-6567
(240) 964-8640
(301) 722-2785
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
H0053855
MD
Other
Enumeration date
02/21/2018
Last updated
02/21/2018
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