Individual
STEPHEN F MATTEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1211 HAMBURG TPKE, WAYNE, NJ 07470-5043
(973) 633-0808
(973) 633-8811
Mailing address
560 WHITE PLAINS ROAD, SUITE 500 - ENTA, TARRYTOWN, NY 10591-5112
(914) 333-5800
(914) 333-2544
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
25MA03913400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0871907
—
NJ
01
—
P00807443
RAILROAD MEDICARE
NJ
Enumeration date
07/21/2006
Last updated
11/29/2011
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