Individual
JAMES JOSEPH MATERA
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
8 OLD BRIDGE TPKE, SOUTH RIVER, NJ 08882-2400
(732) 390-4888
(732) 390-0255
Mailing address
8 OLD BRIDGE TPKE, SOUTH RIVER, NJ 08882-2400
(732) 390-4888
(732) 390-0255
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
55453
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6437800
—
NJ
Enumeration date
10/26/2005
Last updated
07/08/2007
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