Individual
ANDREA M MATTIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
175 OLD TAPPAN RD, OLD TAPPAN, NJ 07675-7042
(201) 768-7100
(201) 768-0183
Mailing address
175 OLD TAPPAN RD, OLD TAPPAN, NJ 07675-7042
(201) 768-7100
(201) 768-0183
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
22DI02135500
NJ
Other
Enumeration date
11/22/2006
Last updated
07/08/2007
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