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Individual
JAMES W MATTISON JR.
Active
Individual
JAMES W MATTISON JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
38MC00514100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002420TST
MEDICARE
NJ
01
—
319723YVXP
MEDICARE
NJ
Enumeration date
03/28/2006
Last updated
01/15/2014
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