Individual
MR. MATTHEW I SHOHEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
13 PONDEROSA TRL, SPARTA, NJ 07871-3229
(201) 452-8703
Mailing address
13 PONDEROSA TRL, SPARTA, NJ 07871-3229
(201) 452-8703
Taxonomy
Speciality
Code
Description
License number
State
2251S0007X
Sports Physical Therapist
Primary
40QA01417800
NJ
Other
Enumeration date
01/17/2007
Last updated
12/23/2022
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