Matty, Paul Joseph

Matty, Paul Joseph is an individual health care provider with primary practice located at 612 Hartford Pike , Dayville CT 06241. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Matty, Paul Joseph can be contacted via phone (860) 779-0867.

Contact Information

Primary practice address
612 Hartford Pike Dayville CT 06241
Fax: (860) 779-0386
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 029500 Connecticut

Profile Details

NPI number 1255493698
LBN Legal business name Matty, Paul Joseph
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 14th, 2006
Last updated Nov 10th, 2010 - about 16 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255493698 NPPES
Connecticut MEDICAID 001295006

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