Individual
MATTHEW MASIELLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
19 LIVERPOOL CT, JACKSON, NJ 08527-2613
(646) 410-6058
Mailing address
19 LIVERPOOL CT, JACKSON, NJ 08527-2613
(646) 410-6058
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
41YS00827800
NJ
Other
Enumeration date
12/21/2015
Last updated
12/21/2015
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