Individual
ILENE MATZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
A.P.N
Contact information
Practice address
703 MAIN ST, ST. JOSEPH'S REGIONAL MEDICAL CENTER, PATERSON, NJ 07503-2621
(973) 754-2000
Mailing address
703 MAIN ST, ST. JOSEPH'S REGIONAL MEDICAL CENTER, PATERSON, NJ 07503-2621
(973) 754-3084
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
26NJ00040500
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2K9807
HEALTH NET
NJ
01
—
P3650149
OXFORD
NJ
Enumeration date
06/02/2006
Last updated
10/25/2019
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