Organization
MATT HOSSEINI DPM PHD INC
Active
Other names
holly city podiatry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATT HOSSEINI DPM (CEO)
(856) 825-7331
Entity
Organization
Contact information
Practice address
2728 E MAIN ST, MILLVILLE, NJ 08332-9638
(856) 825-7331
(856) 825-7512
Mailing address
2728 E MAIN ST, MILLVILLE, NJ 08332-9638
(856) 825-7331
(856) 825-7512
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
25MD00252900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7910509
—
NJ
Enumeration date
07/22/2010
Last updated
07/22/2010
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