Individual
DR. HADIA M ATA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
750 BRUNSWICK AVE, TRENTON, NJ 08638-4143
(609) 394-6000
Mailing address
750 BRUNSWICK AVE, TRENTON, NJ 08638-4143
(609) 394-6000
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
25MA04744000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9037209
—
NJ
Enumeration date
07/23/2006
Last updated
05/17/2021
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