Provider Demographics
NPI:1932508595
Name:MATULONIS, ROBERT CHARLES (DO)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:CHARLES
Last Name:MATULONIS
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1100 HEALING WAY
Mailing Address - Street 2:
Mailing Address - City:MATTHEWS
Mailing Address - State:NC
Mailing Address - Zip Code:28104-5159
Mailing Address - Country:US
Mailing Address - Phone:980-442-0600
Mailing Address - Fax:980-442-0601
Practice Address - Street 1:1100 HEALING WAY
Practice Address - Street 2:
Practice Address - City:MATTHEWS
Practice Address - State:NC
Practice Address - Zip Code:28104-5159
Practice Address - Country:US
Practice Address - Phone:980-442-0600
Practice Address - Fax:980-442-0601
Is Sole Proprietor?:No
Enumeration Date:2014-08-20
Last Update Date:2025-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2024-00835207RH0003X
MI5101022177207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAD000Medicare UPIN