Individual
MATTHEW W SHECHTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
639 MARKET ST, CAMDEN, NJ 08102-1103
(856) 964-0979
Mailing address
639 MARKET ST, CAMDEN, NJ 08102-1103
(856) 964-0979
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
22DI01118000
NJ
1223G0001X
General Practice Dentistry
DS-019757-L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22DI01118000
LICENSE
NJ
01
—
DS-019757-L
LICENSE
PA
Enumeration date
02/12/2007
Last updated
01/15/2008
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