Individual
DR. LIESL MATZKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5 NEPONSET ST, WORCESTER, MA 01606-2714
(508) 721-1199
(508) 453-8019
Mailing address
5 NEPONSET ST, WORCESTER, MA 01606-2714
(508) 721-1199
(508) 453-8019
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
RT-3463
NH
207QA0505X
Adult Medicine Physician
Primary
291855
MA
Other
Enumeration date
06/20/2019
Last updated
03/03/2025
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