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Individual
MATTHEW SMELAS
Active
Individual
MATTHEW SMELAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.,OCS, CSCS
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA00699900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00770512
RAILROAD MCR
NJ
01
—
P00770517
RAILROAD MCR
NJ
Enumeration date
05/17/2007
Last updated
12/29/2009
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