Individual
DR. DANIEL MICHAEL MATASSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
140 BERGEN ST, NEWARK, NJ 07103
(973) 972-9000
(973) 972-1681
Mailing address
30 BERGEN ST RM 1205, NEWARK, NJ 07107-3000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA09931100
NJ
Other
Enumeration date
03/23/2013
Last updated
02/15/2022
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