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Individual

DR. DAVID G. MATTES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
181 HIGH ST, NEWTON, NJ 07860-1020
(973) 383-9898
(973) 383-9665
Mailing address
997 FAIRVIEW LAKE RD, NEWTON, NJ 07860-4007
(973) 579-7703

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25MA04836900
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1011592
NJ
Enumeration date
06/05/2006
Last updated
10/14/2013
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