Organization Name: | NEWBERRY SURGICAL ASSOCIATES PA |
NPI Number: | 1063499226 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | STEVEN A MATZINGEH (PARTNER) |
Mailing Address: | 2541 Evans Street Suite 100 Newberry |
State: | SC US |
Postal Code: | 29108 |
Phone Number: | 8032767172 |
Fax Number: | 8032767175 |
NPI Enumeration Date: | 12/29/2005 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2086S0129X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Surgery |
Taxonomy Specialization: | Vascular Surgery |
Taxonomy Definition: | A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |