Organization
MATAWAN MEDICAL ASSOCIATES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. L SCOTT LARSEN M.D. (PRESIDENT)
(732) 888-7353
Entity
Organization
Contact information
Practice address
213 MAIN ST, MATAWAN, NJ 07747-3221
(732) 566-2363
Mailing address
213 MAIN ST, MATAWAN, NJ 07747-3221
(732) 566-2363
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
208600000X
Surgery Physician
—
—
Other
Enumeration date
05/18/2006
Last updated
10/17/2007
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