Organization
MATHENY SCHOOL AND HOSPITAL
Active
Other names
Matheny Medical and Educational Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEVEN PROCTOR (PRESIDENT)
(908) 234-0011
Entity
Organization
Contact information
Practice address
1467 HIGHLAND AVENUE, PEAPACK, NJ 07977
(908) 234-0011
(908) 234-9496
Mailing address
PO BOX 339, PEAPACK, NJ 07977
(908) 234-0011
(908) 234-9496
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
21801
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8620709
—
NJ
Enumeration date
04/08/2006
Last updated
08/22/2020
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