Individual
MATTHEW JAMES DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
150 BERGEN ST, NEWARK, NJ 07103-2496
(973) 972-4300
Mailing address
150 BERGEN ST, NEWARK, NJ 07103-2496
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/13/2021
Last updated
05/13/2021
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