Individual
GILLIAN MATOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
105 N CHURCH RD, SPARTA, NJ 07871-3203
(973) 383-6700
Mailing address
PO BOX 1585, MONTAGUE, NJ 07827-0585
(973) 383-6700
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
10/17/2025
Last updated
10/24/2025
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