Provider Demographics
NPI:1245310994
Name:MALER, MATTHEW (RPT)
Entity type:Individual
Prefix:MR
First Name:MATTHEW
Middle Name:
Last Name:MALER
Suffix:
Gender:M
Credentials:RPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:111 WAKELEE AVE
Mailing Address - Street 2:
Mailing Address - City:ANSONIA
Mailing Address - State:CT
Mailing Address - Zip Code:06401-1151
Mailing Address - Country:US
Mailing Address - Phone:203-734-7900
Mailing Address - Fax:203-736-1076
Practice Address - Street 1:1095 WEST ST STE 6
Practice Address - Street 2:
Practice Address - City:SOUTHINGTON
Practice Address - State:CT
Practice Address - Zip Code:06489-1023
Practice Address - Country:US
Practice Address - Phone:860-621-3899
Practice Address - Fax:860-621-0090
Is Sole Proprietor?:No
Enumeration Date:2006-10-17
Last Update Date:2019-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0077932251X0800X, 225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist