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Roman Matsouk, PA-C
Surgical Physician Assistant in Fairfield, New Jersey
NPI 1558422766

Roman Matsouk is a Surgical Physician Assistant based in Wayne, NJ and is specialized in Surgical. Roman Matsouk practices in Fairfield, NJ and has the professional credentials of PA-C. The NPI Number for Roman Matsouk is 1558422766 and holds a License No. 2SMP00172500 (New Jersey).

The current practice location address for Roman Matsouk is 695 Us Highway 46, Fairfield, NJ and can be reached out via phone at 973-826-8080 and via fax at 866-309-3354.

Location: 695 Us Highway 46, Fairfield, NJ, 07474-4059
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1558422766
Provider Name
Roman Matsouk
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
695 Us Highway 46, Fairfield, NJ, 07474-4059
Phone Number
973-826-8080
Fax Number
866-309-3354
Provider Enumeration Date
12/12/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
116532ZJ5N 01 NJ PTAN SURGERY SERVICES
0429294 05 NJ
116532YP69 01 NJ PTAN QUALITY SURGICAL SERVICES
institution
Provider Business Practice Location Address Details
Address
695 Us Highway 46
City
Fairfield
State
New Jersey
Zip
07004-1592
Phone Number
973-826-8080
Fax Number
866-309-3354
person
Provider Business Mailing Address Details
Address
695 Us Highway 46
City
Fairfield
State
New Jersey
Zip
07004-1592
Phone Number
973-826-8080
Fax Number
866-309-3354
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
-
Taxonomy
363A00000X
License No.
011450-1 (New York)
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
363AS0400X
License No.
2SMP00172500 (New Jersey)
Definition
Definition to come...
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