Individual
DR. JAMES KENNETH MATTIE JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3799 ROUTE 46 STE 301, PARSIPPANY, NJ 07054-1060
(973) 335-1122
(973) 335-1446
Mailing address
92 LAKESIDE TRL, KINNELON, NJ 07405-2894
(201) 602-9209
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
25MA08955000
NJ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/21/2008
Last updated
02/14/2025
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