Doctor Name: | DR. ROBERT C MATYLEWICZ |
NPI Number: | 1629057492 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.O. |
License Number: | OS009643L |
Business Practice Address: | 285 N Main St Spring Grove, PA - 173621134 |
Business Phone Number: | 7172253610 |
Business Fax Number: | 7172257294 |
Mailing Address: | 115 Riding Silks Ln, YORK |
State: | PA |
Postal Code: | 174049032 |
Phone Number: | 7175788111 |
Fax Number: | |
NPI Enumeration Date: | 01/11/2006 |
NPI Last Update Date: | 03/03/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207QA0401X |
License Number: | OS009643L |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | PA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Family Medicine |
Taxonomy Specialization: | Addiction Medicine |
Taxonomy Definition: | A family medicine physician who specializes in the diagnosis and treatment of addictions. |