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NPI Code Detail

MEDICARE: DR. ROBERT PAUL MATSKO SR. D.O.

MEDICARE: DR. ROBERT PAUL MATSKO SR. D.O.
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
1207Q00000XFamily Medicine PhysicianOS002859LPA

General Provider Information

NPI Number : 1073506853
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ROBERT PAUL MATSKO SR. D.O.
Provider Business Mailing Address
First Line : 205 GRANDVIEW AVE
Second Line : SUITE 210
City : CAMP HILL
State : PA
Zip : 17011-1708
Country : US
Telephone Number : 717-972-7917
Fax Number : 717-972-4470
Provider Business Practice Location Address
First Line : 211 BROAD ST
Second Line :
City : MARYSVILLE
State : PA
Zip : 17053-1302
Country : US
Telephone Number : 717-957-3500
Fax Number : 717-957-4069
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/26/2005
Last Update Date : 03/22/2011

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