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Individual

JOHN RICHARD MATJUCHA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
201 LYONS AVENUE, NEWARD BETH ISRAEL MEDICAL CENTER, NEWARK, NJ 07112-2094
(973) 926-7000
(610) 617-6280
Mailing address
PO BO 13700 0135, NEWARD BETH ISRAEL EMERGENCY ROOM DEPARTMENT, PHILADELPHI, PA 19191-0135
(610) 668-6491
(610) 617-6280

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
25MA05951100
NJ

Other

Enumeration date
10/05/2006
Last updated
07/08/2007
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