Individual
SHRIKRISHNA KASHINATH MATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
525 JACK MARTIN BLVD, SUITE 102, BRICK, NJ 08724
(732) 458-1177
(732) 458-5942
Mailing address
525 JACK MARTIN BLVD, SUITE 102, BRICK, NJ 08724
(732) 458-1177
(732) 458-5942
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
25MA03152100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
011924
AETNA
—
01
—
1077539
MERCY STATEPLAN
—
01
—
J0918
BLUE CROSS HMO
—
Enumeration date
09/06/2006
Last updated
07/08/2007
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