Individual
MATTHEW ANTHONY MCQUILLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
622 GEORGES RD, SUITE 202, NORTH BRUNSWICK, NJ 08902-3377
(732) 296-1000
Mailing address
675 HOES LN W, PISCATAWAY, NJ 08854-8021
(732) 235-4445
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
008926
NY
363A00000X
Physician Assistant
Primary
25MP00023900
NJ
Other
Enumeration date
04/17/2007
Last updated
01/18/2016
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