Provider Demographics
NPI:1255561429
Name:MATUSIK, FRANK
Entity type:Individual
Prefix:
First Name:FRANK
Middle Name:
Last Name:MATUSIK
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:800 ROUTE 9
Mailing Address - Street 2:
Mailing Address - City:BAYVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:08721-3068
Mailing Address - Country:US
Mailing Address - Phone:732-606-1119
Mailing Address - Fax:732-606-1802
Practice Address - Street 1:800 ROUTE 9
Practice Address - Street 2:
Practice Address - City:BAYVILLE
Practice Address - State:NJ
Practice Address - Zip Code:08721-3068
Practice Address - Country:US
Practice Address - Phone:732-606-1119
Practice Address - Fax:732-606-1802
Is Sole Proprietor?:No
Enumeration Date:2009-07-21
Last Update Date:2009-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist