Individual
DR. JULIO MATA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 COOPER PLZ, CAMDEN, NJ 08103-1461
(856) 342-2383
(856) 365-0472
Mailing address
1 COOPER PLZ, CAMDEN, NJ 08103-1461
(856) 342-2383
(856) 365-0472
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
25MA05637100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4557000
—
NJ
Enumeration date
07/04/2006
Last updated
07/08/2007
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