Individual
BONNIE MATOSSIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1200 E RIDGEWOOD AVE, RIDGEWOOD, NJ 07450-3957
(201) 670-8660
(201) 670-6693
Mailing address
1200 E RIDGEWOOD AVE, RIDGEWOOD, NJ 07450-3957
(201) 670-8660
(201) 670-6693
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
26NJ00056000
NJ
Other
Enumeration date
05/17/2006
Last updated
07/28/2011
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