Individual
JOHN JOSEPH MATKOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
355 BARD AVE, STATEN ISLAND, NY 10310-1664
(718) 818-1234
Mailing address
3737 MARKET STREET, 5TH FLOOR, PHILADELPHIA, PA 19104-5547
(215) 349-8310
(215) 662-2739
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN707528
PA
367500000X
Certified Registered Nurse Anesthetist
Primary
674254
NY
Other
Enumeration date
12/08/2020
Last updated
10/17/2024
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