Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 232441 | NY |
N | 207XS0117X | Orthopaedic Spine Surgeon | 232441 | NY |
NPI | 1134115694 |
---|---|
Provider Name | David M Matusz |
First Address | New York, NY 10021-1851 |
Second Address | New York, NY 10021-1851 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/09/2005 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
I15402 | (02) |