Individual
MARY MATYAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
6106 BLACK HORSE PIKE, EGG HARBOR TOWNSHIP, NJ 08234-9701
(609) 645-7779
(908) 301-5456
Mailing address
150 NEW PROVIDENCE RD, MOUNTAINSIDE, NJ 07092-1409
(908) 233-3720
(908) 301-5456
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
NN75099
NJ
Other
Enumeration date
08/28/2008
Last updated
07/21/2022
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