Search › New Jersey › 363AS0400X
Roman Matsouk, PA-C
NPI 1558422766 · on the registry since 2006
Practice
- Address
- 695 Us Highway 46
Suite 400a
Fairfield, NJ 07004 - Phone
- (973) 826-8080
- Fax
- (866) 309-3354
- Clinicians at this address
- 20
Registry record
- Primary taxonomy
- 363AS0400X
363AS0400X
- Also registered as
- 363A00000X
363AS0400X - Licence states on file
- NJ, NY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2019-05-21
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Jersey