Individual
JACQUELINE MARIE MATTHEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
300 2ND AVE, LONG BRANCH, NJ 07740-6303
(732) 222-5200
Mailing address
3424 KOSSUTH AVE, BRONX, NY 10467-2410
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
015181
NY
363A00000X
Physician Assistant
Primary
25MP00276400
NJ
Other
Enumeration date
10/05/2011
Last updated
05/01/2024
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