Active NPIIndividual providerSole proprietor

Dr. Ippolit C Matjucha, MD

Ophthalmology in Sudbury, Massachusetts

NPI Number1811098023
Practice location
36 Mark Ln, Sudbury, MA 01776-1677
Fax
—
Last updated
January 6, 2011

Ippolit C Matjucha is an Ophthalmology based in Sudbury, MA. Ippolit C Matjucha practices in Sudbury, MA and has the professional credentials of MD. The NPI Number for Ippolit C Matjucha is 1811098023 and holds a License No. 80011 (MA). The current practice location address for Ippolit C Matjucha is 36 Mark Ln, Sudbury, MA 01776-1677 and can be reached out via phone at 978-440-8729.

Provider Profile Details

NPI Number
1811098023
Provider Name
Ippolit C Matjucha
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
36 Mark Ln, Sudbury, MA 01776-1677
Phone Number
978-440-8729
Primary Taxonomy
Ophthalmology · 207W00000X
Sole Proprietor
Yes
Provider Enumeration Date
September 26, 2006
Last Update Date
January 6, 2011
NPI Status
Active

Provider Business Practice Location Address Details

Address
36 Mark Ln
Sudbury, MA 01776-1677
Zip
01776-1677
Phone Number
978-440-8729
Sudbury, MA 01776Get directions →

Provider Business Mailing Address Details

Address
36 Mark Ln
Sudbury, MA 01776-1677
City
Sudbury
State
MA
Zip
01776-1677
Phone Number
978-440-8729

License Information

License Number
80011
License State
MA
Taxonomy
Ophthalmology · 207W00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Ippolit C Matjucha, MD?

The NPI number of Dr. Ippolit C Matjucha, MD is 1811098023. It was assigned on September 26, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Ippolit C Matjucha, MD?

Dr. Ippolit C Matjucha, MD is registered under the primary taxonomy Ophthalmology (code 207W00000X), licensed in MA under license number 80011.

Where does Dr. Ippolit C Matjucha, MD practice?

The practice location is 36 Mark Ln, Sudbury, MA 01776-1677. The office can be reached at 978-440-8729 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1811098023 directly on the NPPES registry website.

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