Matczuk, Agnieszka
Matczuk, Agnieszka is an individual health care provider with primary practice located at 148 East Ave Suite 3G, Norwalk CT 06851-5721. She recently has only one registered license in Allopathic & Osteopathic Physicians / Allergy & Immunology, which is considered as her primary health care specialty. Matczuk, Agnieszka can be contacted via phone (203) 838-4034.Contact Information
Primary practice address
148 East Ave Suite 3G
Norwalk CT 06851-5721
Phone: (203) 838-4034
Fax: (203) 853-6361
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Allergy & Immunology | 207K00000X | 038563 | Connecticut |
Profile Details
NPI number | 1467436733 |
---|---|
LBN Legal business name | Matczuk, Agnieszka |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Dec 1st, 2005 |
Last updated | Oct 8th, 2020 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1467436733 | NPPES |
Connecticut | MEDICAID | 001385633 |
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