Individual
KRISSA MATARLO-SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
65 JAMES ST, EDISON, NJ 08820-3947
(732) 321-7733
Mailing address
37 8TH ST, RIDGEFIELD PARK, NJ 07660-1005
(201) 410-6108
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
26NJ01407500
NJ
Other
Enumeration date
12/21/2022
Last updated
12/21/2022
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