Organization
LONNY MATLICK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LONNY D MATLICK D.O. (OWNER)
(609) 465-4667
Entity
Organization
Contact information
Practice address
307 STONE HARBOR BLVD, CAPE MAY COURT HOUSE, NJ 08210-2170
(609) 465-4667
(609) 465-9387
Mailing address
2306 NEW RD, NORTHFIELD, NJ 08225-1407
(609) 465-4667
(609) 465-9387
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
25MB04094300
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3421860000
AMERIHEALTH
NJ
01
—
P3856224
OXFORD
NJ
Enumeration date
12/19/2007
Last updated
01/21/2009
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