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MATTHEW J NIEDZWIECKI
345 BLACKSTONE BLVD PROVIDENCE RI 29064861
MATTHEW J NIEDZWIECKI is physician registered in the Centers for Medicare & Medicaid Services (CMS). The National Provider Identifier (NPI) of the National Plan and Provider Enumeration System (NPPES) is 1174859284. The unique individual professional ID assigned by Provider Enrollment, Chain, and Ownership System (PECOS) is 4183866981. The primary specialty is PSYCHIATRY. The organization is BUTLER HOSPITAL. The address is 345 BLACKSTONE BLVD, , PROVIDENCE, RI, 29064861. The zip code is 29064861.
|Nation Provider ID||1174859284|
|PAC ID by PECOS||4183866981|
|Professional Enrollment ID||I20130807000375|
|Name||MATTHEW J NIEDZWIECKI|
|Medical School Name||OTHER|
|All secondary specialties|
|Organization Name||BUTLER HOSPITAL|
|Group Practice PAC ID||8123018033|
|Number of Group Practice members||57|
|Address||345 BLACKSTONE BLVD, , PROVIDENCE, RI, 29064861|
|Hospital affiliation LBN||KENT COUNTY MEMORIAL HOSPITAL|