Stanley Joseph Matyasik
Pulmonary Disease
12502 Willowbrook Road Suite 280
Cumberland
, Maryland 21502
Stanley Joseph Matyasik
Pulmonary Disease
12502 Willowbrook Road Suite 280
Cumberland
, Maryland 21502
(240) 964-8699
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About
Features
Specialties
- Pulmonary Disease
Languages spoken
- English
Location
First Address
- Stanley Joseph Matyasik
- 12502 Willowbrook Rd Medical Arts Center Suite 280
- Cumberland, MD
- Zip : 21502
- Fax : (240) 964-8699
- Phone : (240) 964-8690
Second Address
- Stanley Joseph Matyasik
- 12502 Willowbrook Road Suite 280
- Cumberland, MD
- Zip : 21502
- Fax : (240) 964-8699
- Phone : (240) 964-8690
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RP1001X | Pulmonary Disease | H0053855 | MD |
National Provider Identifier
| NPI | 1003951625 |
|---|---|
| Provider Name | Stanley Joseph Matyasik |
| First Address | Cumberland, MD 21502 |
| Second Address | Cumberland, MD 21502 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 21/02/2007 |
| Last Update Date | 15/06/2018 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 144201500 | (05) | MD |
| G05275 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.