Individual
JOANNA MATOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
765 ROUTE 70 E STE D-125, MARLTON, NJ 08053-2341
(856) 453-4894
(856) 451-7248
Mailing address
4 MARY ELLEN LN, ERIAL, NJ 08081-9744
(610) 203-2033
(520) 363-6065
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
26NJ00900100
NJ
363LP2300X
Primary Care Nurse Practitioner
Primary
26NJ00900100
NJ
Other
Enumeration date
02/26/2019
Last updated
09/09/2024
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