Individual
MATTHEW PHILLIPPI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
425 JACK MARTIN BLVD, BRICK, NJ 08724-7732
(732) 840-2200
Mailing address
84 PINE ST APT 1L, MONTCLAIR, NJ 07042-4841
(414) 403-9446
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/27/2025
Last updated
03/29/2025
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