Individual
DR. MANUEL JOHN MATOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
230 W JERSEY ST, STE 302, ELIZABETH, NJ 07202-1352
(908) 282-6998
(908) 282-0306
Mailing address
230 W JERSEY ST, STE 302, ELIZABETH, NJ 07202-1352
(908) 282-6998
(908) 282-0306
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
22DI02076600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8265607
—
NJ
Enumeration date
05/23/2005
Last updated
06/21/2013
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