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Individual

DR. MATTHEW MACKOWSKY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
225 WILLIAMSON ST, ELIZABETH, NJ 07202-3625
(908) 994-5738
Mailing address
379 CAMPUS DR, SOMERSET, NJ 08873-1161
(732) 937-8939
(732) 418-8372

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
25MA11200600
NJ
208600000X
Surgery Physician
92472
GA
2086S0102X
Surgical Critical Care Physician
01092242A
IN
2086S0102X
Surgical Critical Care Physician
MC-2472
ID
390200000X
Student in an Organized Health Care Education/Training Program
NJ

Other

Enumeration date
06/16/2016
Last updated
01/20/2025
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