Individual
DR. MATTHEW W LAWRENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
649 SHORE RD, SOMERS POINT, NJ 08244-2449
(609) 365-6200
(609) 926-4311
Mailing address
1 E. NEW YORK AVE, 4TH FLOOR -SPG, SOMERS POINT, NJ 08244
(609) 653-3994
(609) 926-4311
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
C20007648
DE
2086S0129X
Vascular Surgery Physician
Primary
OS010450L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0712591
—
NJ
05
—
1000035617
—
DE
05
—
1013649230003
—
PA
Enumeration date
08/11/2006
Last updated
02/02/2021
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