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NPI Code Detail

MEDICARE: ANTONIA MATULJ PHARM D

MEDICARE:   ANTONIA  MATULJ  PHARM D
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist056131NY

General Provider Information

NPI Number : 1184086365
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANTONIA MATULJ PHARM D
Provider Business Mailing Address
First Line : 2811 47TH ST
Second Line : ASTORIA
City : ASTORIA
State : NY
Zip : 11103-1207
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 239 W 238TH ST
Second Line :
City : BRONX
State : NY
Zip : 10463-2455
Country : US
Telephone Number : 347-252-6043
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/25/2016
Last Update Date : 03/25/2016

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Directions to “ ANTONIA MATULJ PHARM D” Practice Location

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