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Individual

WALTER MATKIWSKY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
100 HOLLYWOOD AVE, HILLSIDE FAMILY PRACTICE, HILLSIDE, NJ 07205
(908) 353-7949
(908) 353-8374
Mailing address
PO BOX 416457, BOSTON, MA 02241-6457

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25MB02410900
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2195704
NJ
Enumeration date
07/28/2006
Last updated
12/30/2014
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