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NPI Code Detail

MEDICARE: DR. SCOTT MATSON MD

MEDICARE:  DR. SCOTT  MATSON  MD
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
1208800000XUrology Physician040285CT

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1P3906119OTHERCTOXFORD
27190376OTHERCTAETNA
33V1999OTHERCTHEALTHNET
48711289OTHERCTCIGNA
5010040285CT06OTHERCTANTHEM
6040285OTHERCTCONNECTICARE
7MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
82253948OTHERCTUNITED HEALTHCARE

General Provider Information

NPI Number : 1275502916
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SCOTT MATSON MD
Provider Business Mailing Address
First Line : PO BOX 10
Second Line :
City : EAST GLASTONBURY
State : CT
Zip : 06025-0010
Country : US
Telephone Number : 860-430-5773
Fax Number : 888-285-0925
Provider Business Practice Location Address
First Line : 2800 TAMARACK RD
Second Line : SIUTE 108
City : SOUTH WINDSOR
State : CT
Zip : 06074-5539
Country : US
Telephone Number : 800-588-9240
Fax Number : 888-285-0925
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/15/2006
Last Update Date : 08/28/2008

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Directions to “ DR. SCOTT MATSON MD” Practice Location

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