Individual
MR. JOE MATIAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APN-BC
Contact information
Practice address
1945 CORLIES AVE, NEPTUNE, NJ 07753-0775
(732) 776-3815
Mailing address
1945 CORLIES AVE, NEPTUNE, NJ 07753
(732) 775-7500
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26NJ00999100
NJ
Other
Enumeration date
12/16/2019
Last updated
08/29/2022
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