Individual
SYDNEY KRISTINE MATTERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
63 GRAND AVE, RIVER EDGE, NJ 07661-1930
(201) 696-2646
Mailing address
627 PROSPECT AVE, RIDGEFIELD, NJ 07657-1712
(201) 638-1237
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00814100
NJ
Other
Enumeration date
10/06/2023
Last updated
11/28/2023
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