Individual
DR. CALVIN C MATTHEWS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
323 BELLEVILLE AVE, BLOOMFIELD, NJ 07003-3648
(973) 429-1010
(973) 429-1199
Mailing address
323 BELLEVILLE AVE, BLOOMFIELD, NJ 07003-3648
(973) 429-1010
(973) 429-1199
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
MA49180
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
223054468
TAX ID
NJ
05
—
3584607
—
NJ
Enumeration date
11/16/2006
Last updated
07/08/2007
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