Healthcare Provider Details

I. General information

NPI: 1346403870
Provider Name (Legal Business Name): MATTHEW ROBERT PASZEK MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/03/2008
Last Update Date: 03/07/2023
Certification Date: 08/09/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

180 FOY DR
ROCKY MOUNT NC
27804-2417
US

IV. Provider business mailing address

2000 PERIMETER PARK DR STE 200
MORRISVILLE NC
27560-8442
US

V. Phone/Fax

Practice location:
  • Phone: 252-443-3136
  • Fax: 252-443-3847
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208800000X
TaxonomyUrology Physician
License Number201100007
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: