Individual
MR. MATTHEW J PETRIDES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1945 CORLIES AVE, NEPTUNE CITY, NJ 07753-4859
(732) 775-5500
Mailing address
1945 STATE ROUTE 33, NEPTUNE, NJ 07753-4859
(732) 776-4618
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
25MP00032400
NJ
Other
Enumeration date
01/30/2006
Last updated
11/23/2010
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