Individual
NINON MATOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1 COOPER PLZ, CAMDEN, NJ 08103
(856) 342-3150
Mailing address
1 FEDERAL ST # 200, CAMDEN, NJ 08103-1088
(856) 356-4924
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
25MA08568400
NJ
208M00000X
Hospitalist Physician
Primary
25MA08568400
NJ
Other
Enumeration date
05/05/2009
Last updated
09/06/2019
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