Organization
MATAWAN SURGICAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL KEEN (CFO)
(732) 739-5907
Entity
Organization
Contact information
Practice address
213 MAIN ST, MATAWAN, NJ 07747-3221
(732) 566-2363
Mailing address
111 CONTINENTAL DR, NEWARK, DE 19713-4306
(302) 709-4542
(302) 733-0854
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
25MA02570000
NJ
Other
Enumeration date
03/19/2007
Last updated
08/22/2020
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