Individual
MATTHEW MACDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
350 ENGLE ST, ENGLEWOOD, NJ 07631-1808
(201) 894-3364
Mailing address
100 EAST 77TH STREET, 6 BLACK HALL, NEW YORK, NY 10075-1850
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA12352200
NJ
207R00000X
Internal Medicine Physician
313483
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/26/2018
Last updated
09/18/2024
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