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Organization

DR MATIENZO HEALTH CARE PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. RICARDO M MATIENZO MD (PRESIDENT)
(201) 659-0711
Entity
Organization

Contact information

Practice address
450 7TH ST, SUITE 9, HOBOKEN, NJ 07030-2057
(201) 659-0711
(201) 659-4117
Mailing address
450 7TH ST, SUITE 9, HOBOKEN, NJ 07030-2057
(201) 659-0711
(201) 659-4117

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MA075238
NJ

Other

Enumeration date
04/10/2007
Last updated
07/15/2010
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