Whalio Doctors

NPI 1053696187

Charles Christian Matouk, MD

Practitioner Neurological Surgery Physician New Haven, CT

Practice location

Address
800 Howard Ave Lower Level, Neuroscience Center, New Haven, CT 06519-1369
Phone
(203) 737-2096
Fax
(203) 785-2044
Mailing address
PO Box 208082, 333 Cedar Street, Tmp 402 Yale University, Department of Neurosurgery, New Haven, CT 06510-3206

Registered specialties

Neurological Surgery Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207T00000X Licence 50158 (CT)

Registry record

NPI
1053696187
Entity type
Individual
Sex (as registered)
Male
NPI issued
20 Oct 2011
Record last updated
19 Sep 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.