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NPI Code Detail

MEDICARE: MATTHEW W. SZYMASZEK DO

MEDICARE: MATTHEW W. SZYMASZEK DO
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
1208M00000XHospitalist PhysicianOS018978PA
2207P00000XEmergency Medicine PhysicianDR.0062606CO

General Provider Information

NPI Number : 1417395161
Entity Type Code : Individual
Provider Name (Legal Business Name) : MATTHEW W. SZYMASZEK DO
Provider Business Mailing Address
First Line : 10800 KNIGHTS RD
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19114-4200
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 400 W 16TH ST
Second Line :
City : PUEBLO
State : CO
Zip : 81003-2781
Country : US
Telephone Number : 719-584-4306
Fax Number : 719-595-7886
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/04/2013
Last Update Date : 09/30/2019

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