Individual
EMALY MATARI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
357 PROSPECT AVE, HACKENSACK, NJ 07601-2519
(551) 309-3555
Mailing address
306 SHADES OF DEATH RD, GREAT MEADOWS, NJ 07838-2609
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
09/11/2023
Last updated
09/11/2023
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