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NPI Code Detail

MEDICARE: MICHAEL SEAN MATUSZEWSKI

MEDICARE: MICHAEL SEAN MATUSZEWSKI
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
1183500000XPharmacistRP045776LPA

General Provider Information

NPI Number : 1073119251
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHAEL SEAN MATUSZEWSKI
Provider Business Mailing Address
First Line : 328 COCHRAN RD
Second Line :
City : PITTSBURGH
State : PA
Zip : 15228-1232
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 328 COCHRAN RD
Second Line :
City : PITTSBURGH
State : PA
Zip : 15228-1232
Country : US
Telephone Number : 412-563-3444
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/11/2020
Last Update Date : 12/11/2020

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Directions to “ MICHAEL SEAN MATUSZEWSKI ” Practice Location

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