Individual
MS. JANIS T MATTHAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
1 E. NEW YORK AVENUE, PENN CARDIOLOGY AT SHORE MEMORIAL, SOMERS POINT,, NJ 08244
(856) 216-0300
(609) 653-3960
Mailing address
1 E. NEW YORK AVENUE, PENN CARDIOLOGY AT SHORE MEMORIAL, SOMERS POINT, NJ 08244
(856) 216-0300
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
26NN072123
NJ
363LF0000X
Family Nurse Practitioner
Primary
26NN07212300
NJ
363LF0000X
Family Nurse Practitioner
VP004288B
PA
Other
Enumeration date
09/12/2005
Last updated
10/19/2012
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