Organization
HILLSIDE FAMILY PRACTICE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WALTER MATKIWSKY DO (PRESIDENT)
(908) 353-7949
Entity
Organization
Contact information
Practice address
100 HOLLYWOOD AVE, HILLSIDE FAMILY PRACTICE, HILLSIDE, NJ 07205-2409
(908) 353-7949
(908) 353-8374
Mailing address
100 HOLLYWOOD AVE, HILLSIDE FAMILY PRACTICE, HILLSIDE, NJ 07205-2409
(908) 353-7949
(908) 353-8374
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25MB02410900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0048071
—
NJ
Enumeration date
08/11/2006
Last updated
02/03/2011
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