Individual
VICTORINO MANAGUIT MATUS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
424 LAKEHURST RD, TOMS RIVER, NJ 08755
(732) 240-0066
(732) 240-1327
Mailing address
424 LAKEHURST RD, TOMS RIVER, NJ 08755
(732) 240-0066
(732) 240-1327
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MA02994200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2418100
—
NJ
Enumeration date
08/30/2006
Last updated
07/08/2007
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