Matino, James John

Matino, James John is an individual health care provider with primary practice located at 1000 Asylum Ave Suite 2118, Hartford CT 06105-1770. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Matino, James John can be contacted via phone (860) 241-0870.

Contact Information

Primary practice address
1000 Asylum Ave Suite 2118 Hartford CT 06105-1770
Phone: (860) 241-0870
Fax: (860) 241-8296
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 019442 Connecticut

Profile Details

NPI number 1063463313
LBN Legal business name Matino, James John
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 12th, 2006
Last updated Mar 7th, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063463313 NPPES
Connecticut MEDICAID 001194422

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