Individual
GARY MATUSOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
3205 FIRE RD, EGG HARBOR TOWNSHIP, NJ 08234-5857
(609) 407-1220
(321) 280-2479
Mailing address
3205 FIRE RD, EGG HARBOR TOWNSHIP, NJ 08234-5857
(609) 407-1220
(321) 280-2479
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
25MB05205400
NJ
207RG0100X
Gastroenterology Physician
Primary
25MB05205400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2345609
—
NJ
Enumeration date
06/19/2006
Last updated
08/21/2023
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