Individual
DR. MATT BACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11 MERIDIAN RD, EATONTOWN, NJ 07724-2242
(732) 663-0300
(732) 774-9148
Mailing address
11 MERIDIAN RD, EATONTOWN, NJ 07724-2242
(732) 663-0300
(732) 774-9148
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
MA058989
NJ
207RI0011X
Interventional Cardiology Physician
Primary
25MA05898900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6873405
—
NJ
Enumeration date
02/14/2006
Last updated
03/22/2016
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