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Individual

DR. MATTHEW JAMES MACDONALD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
NORTHEAST REGIONAL EPILEPSY GROUP, 20 PROSPECT AVE SUITE 800, HACKENSACK, NJ 07601
(201) 343-6676
(201) 343-6689
Mailing address
NORTHEAST REGIONAL EPILEPSY GROUP, 20 PROSPECT AVE SUITE 800, HACKENSACK, NJ 07601
(201) 343-6676
(201) 343-6689

Taxonomy

Speciality
Code
Description
License number
State
2084E0001X
Epilepsy Physician
341624
NY
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
25MA13031200
NJ
390200000X
Student in an Organized Health Care Education/Training Program
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
41280
CPSID, (BC, CANADA)
Enumeration date
06/30/2021
Last updated
04/16/2026
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