Individual
DR. SAM MATHEWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
111 CENTRAL AVE, NEWARK, NJ 07102-1909
(201) 658-6297
Mailing address
143 BERTHA CT, PARAMUS, NJ 07652-4092
(201) 658-6297
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
25MA09709400
NJ
Other
Enumeration date
12/22/2011
Last updated
04/14/2016
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