Individual
MATTHEW A NEIMARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
750 BRUNSWICK AVE, TRENTON, NJ 08638
(609) 815-7532
Mailing address
475 SEAVIEW AVE, STATEN ISLAND, NY 10305-3436
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
25MA10132900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0575399
—
NJ
01
—
591817USF
MEDICARE
NJ
Enumeration date
07/22/2009
Last updated
09/06/2018
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