Individual
MR. MATTHEW HOLMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
SUPPORT COORDINATOR
Contact information
Practice address
17 SHERWOOD LN, WESTAMPTON, NJ 08060-3731
(973) 489-9820
Mailing address
17 SHERWOOD LN, WESTAMPTON, NJ 08060-3731
(973) 489-9820
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
83-2328337
—
NJ
Enumeration date
10/30/2018
Last updated
10/30/2018
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