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Individual

RICHARD MATZA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1389 W MAIN ST, SUITE 123, WATERBURY, CT 06708-3104
(203) 755-5555
Mailing address
1389 W MAIN ST, SUITE 123, WATERBURY, CT 06708-3104
(203) 755-5555

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
020509
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001205095
CT
Enumeration date
06/29/2006
Last updated
05/13/2009
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