Individual provider · Type 1 NPI

Matthew Joshua Agsalud

Student in an Organized Health Care Education/Training Program · Hartford, CT

NPI number 1053025676 Active

Practice location

80 Seymour St
Hartford, CT 06102-8000

Mailing address

200 Mullins Dr
Lebanon, OR 97355-3983

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1053025676

Matthew Joshua Agsalud's National Provider Identifier is 1053025676, issued on Jan 9, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Hartford, CT. The record was last updated on Apr 23, 2026.