MEDICARE: DR. MATTEO JOSEPH LOPREIATO M.D.

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
1	208000000X	Pediatrics Physician	041963	CT

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1811994007
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MATTEO JOSEPH LOPREIATO M.D.

Provider Business Mailing Address
First Line	:	742 WORTHINGTON RDG
Second Line	:	SUITE A
City	:	BERLIN
State	:	CT
Zip	:	06037-3233
Country	:	US
Telephone Number	:	860-829-7337
Fax Number	:

Provider Business Practice Location Address
First Line	:	742 WORTHINGTON RDG
Second Line	:	SUITE A
City	:	BERLIN
State	:	CT
Zip	:	06037-3233
Country	:	US
Telephone Number	:	860-829-7337
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/01/2005
Last Update Date	:	05/09/2008

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