Individual
EDWARD JOHN MATTHEWS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7379 AMBOY ROAD, STATEN ISLAND, NY 10307
(718) 984-2005
(718) 984-2005
Mailing address
7379 AMBOY ROAD, STATEN ISLAND, NY 10307
(718) 984-2005
(718) 984-2005
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
147351
NY
Other
Enumeration date
12/08/2006
Last updated
07/08/2007
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