NPI 1720147267 · live from the CMS NPI Registry
Marcia A Matuska, MD
Dermatology in Lewiston, ME. National Provider Identifier 1720147267, active.
NPI record
| NPI | 1720147267 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dermatology 207N00000X |
| Practice location | 76 High St, Suite 305a, Lewiston, ME 04240 |
| Practice phone | 207-777-7149 |
| Enumerated | December 8, 2006 |
| Last updated | July 8, 2007 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dermatology primary | 207N00000X | 012373 (ME) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.