Individual
JOANNA MATYSKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
MEDICAL CENTER BLVD, WINSTON-SALEM, NC 27157
(336) 716-2255
Mailing address
PO BOX 344, WINSTON SALEM, NC 27102-0344
(336) 716-2255
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
2006-00642
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
142TV
BCBS
NC
05
—
1689695462
—
VA
01
—
190057
MEDCOST
NC
05
—
3810008273
—
WV
05
—
5906319
—
NC
01
—
7608860
AETNA
—
01
—
808486
PARTNERS
NC
Enumeration date
07/21/2006
Last updated
05/14/2008
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