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Individual

MATTHEW C PARUCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CPO

Contact information

Practice address
928 COPPERFIELD BLVD NE, CONCORD, NC 28025-2433
(828) 446-8236
Mailing address
928 COPPERFIELD BLVD NE, CONCORD, NC 28025-2433

Taxonomy

Speciality
Code
Description
License number
State
222Z00000X
Orthotist
224P00000X
Prosthetist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7795525
NC
Enumeration date
05/25/2011
Last updated
07/17/2018
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