Individual
DR. ROSALIE V MATOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
520 WESTFIELD AVE STE 301, ELIZABETH, NJ 07208-1658
(908) 469-4375
(908) 469-4376
Mailing address
520 WESTFIELD AVE STE 301, ELIZABETH, NJ 07208-1658
(908) 469-4375
(908) 469-4376
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
049870
NY
1223P0221X
Pediatric Dentistry
Primary
22DI02258700
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02420368
—
NY
Enumeration date
03/25/2006
Last updated
07/08/2007
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