NPI 1063766293

John Matthew Artuso, PTA

Practitioner Contractor Haleiwa, HI

Practice location

Address: 59-076 Kahae Rd, Haleiwa, HI 96712-9611
Phone: (908) 875-4191

Registered specialties

Contractor Primary

Other Service Providers Taxonomy 171W00000X Licence 40QB00261900 (NJ)

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Registry record

NPI: 1063766293
Entity type: Individual
Sex (as registered): Male
NPI issued: 9 Nov 2012
Record last updated: 9 Nov 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.