Individual
MR. ALAN EARL MATONTI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCADC
Contact information
Practice address
30 BRIARWOOD AVE, 51 MEMORIAL PARKWAY, ATLANTIC HIGHLANDS, NJ 07716-2014
(732) 291-7997
Mailing address
30 BRIARWOOD AVE, ATLANTIC HIGHLANDS, NJ 07716-2014
(732) 291-7997
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
37LC00037100
NJ
171W00000X
Contractor
—
—
Other
Enumeration date
08/31/2006
Last updated
07/08/2007
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