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Individual

MATTHEW AVENOSO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
30 PROSPECT AVE, HACKENSACK, NJ 07601-1915
(551) 996-2000
Mailing address
30 PROSPECT AVE, HACKENSACK, NJ 07601-1915
(551) 996-2000

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
25MA11837000
NJ

Other

Enumeration date
03/30/2020
Last updated
05/09/2023
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