Individual
ANNAMARIE MATOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
156 LYONS AVE, NEWARK, NJ 07112-2016
(973) 926-8491
(973) 923-6599
Mailing address
154 JAY AVE, LYNDHURST, NJ 07071-1408
(973) 670-4615
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
26NJ00153400
NJ
Other
Enumeration date
05/04/2008
Last updated
12/06/2010
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