Individual
JAMES W MATTISON JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
480 MEMORIAL PKWY, PHILLIPSBURG, NJ 08865-1575
(908) 454-8808
(908) 998-4762
Mailing address
480 MEMORIAL PKWY, PHILLIPSBURG, NJ 08865-1575
(908) 454-8808
(908) 998-4762
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
38MC00514100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002420TST
MEDICARE
NJ
01
—
319723YVXP
MEDICARE
NJ
Enumeration date
03/28/2006
Last updated
01/15/2014
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