Individual
DR. RYAN M MATTOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AU.D.
Contact information
Practice address
1000 ROUTE 70 STE 14, LAKEWOOD, NJ 08701-5961
(732) 363-5991
Mailing address
2253 CRESTWOOD PL, FORKED RIVER, NJ 08731-3128
(201) 421-5384
Taxonomy
Speciality
Code
Description
License number
State
237600000X
Audiologist-Hearing Aid Fitter
Primary
41YA00095400
NJ
Other
Enumeration date
10/28/2016
Last updated
10/28/2016
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