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Individual

THOMAS W MATERNA

Active
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Individual

THOMAS W MATERNA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
25MA03400000
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
061280694
TAX ID
NJ
05
1465201
NJ
Enumeration date
02/05/2007
Last updated
01/13/2014
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If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.

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