Organization
MATRIX MEDICAL NETWORK OF NEW JERSEY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE PETERSON (SUPERVISOR PROVIDER ENROLLMENT)
(480) 862-1677
Entity
Organization
Contact information
Practice address
250 PEHLE AVE STE 200, SADDLE BROOK, NJ 07663-5835
(480) 862-1677
(480) 718-7643
Mailing address
9201 E MOUNTAIN VIEW #220, SCOTTSDALE, AZ 85258-5172
(480) 862-1700
(877) 506-4560
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
04/26/2011
Last updated
05/04/2020
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