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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 ID1174859284
PAC ID by PECOS4183866981
Professional Enrollment IDI20130807000375
NameMATTHEW J NIEDZWIECKI
Medical School NameOTHER
Graduation Year2009
Primary SpecialtyPSYCHIATRY
All secondary specialties
Organization NameBUTLER HOSPITAL
Group Practice PAC ID8123018033
Number of Group Practice members57
Address345 BLACKSTONE BLVD, , PROVIDENCE, RI, 29064861
Hospital affiliation LBNKENT COUNTY MEMORIAL HOSPITAL
Graduation Year2009
Contact Number4014556436
Email Address[Show_Email_ID]

Location On Map