# MATAWAN MEDICAL CENTER LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093030454
- **Authorized official:** DR. MAGDA GHABRAS D.O. (PHYSICIAN)
- **Authorized official phone:** (732) 970-6161

## Contact information

- **Practice address:** 158 MAIN ST, SUITE 101, MATAWAN, NJ 07747-4104
- **Practice address phone:** (732) 970-6161
- **Practice address fax:** (732) 970-6163
- **Mailing address:** 158 MAIN ST, SUITE 101, MATAWAN, NJ 07747-4104
- **Mailing address phone:** (732) 970-6161
- **Mailing address fax:** (732) 970-6163

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 25MB08392800 | NJ | Yes |

## Other

- **Enumeration date:** 03/29/2010
- **Last updated:** 06/21/2010