Individual
MATTHEW LOUIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
252 SILLECK ST, CLIFTON, NJ 07013-1165
(973) 510-5052
Mailing address
252 SILLECK ST, CLIFTON, NJ 07013-1165
(973) 510-5052
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
858242
NY
163WH0200X
Home Health Registered Nurse
858242
NY
Other
Enumeration date
08/01/2023
Last updated
08/01/2023
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