Individual
MARCIA A MATUSKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
76 HIGH ST, SUITE 305A, LEWISTON, ME 04240-7649
(207) 777-7149
(207) 782-1336
Mailing address
76 HIGH ST, SUITE 305A, LEWISTON, ME 04240-7649
(207) 777-7149
(207) 782-1336
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
012373
ME
Other
Enumeration date
12/08/2006
Last updated
07/08/2007
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